Asemota, Godwin Osa

Asemota, Godwin Osa is an individual health care provider with primary practice located at 10510 Gravelly Lake Dr Sw , Lakewood WA 98499-5036. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Asemota, Godwin Osa can be contacted via phone (253) 284-4382.

Contact Information

Primary practice address
10510 Gravelly Lake Dr Sw Lakewood WA 98499-5036
Fax: (253) 284-4385
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 00021644 Washington
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 00021644 Washington

Profile Details

NPI number 1982839148
LBN Legal business name Asemota, Godwin Osa
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982839148 NPPES
Washington MEDICAID 6026421

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