Provider Demographics
NPI:1407038359
Name:AKINSKAS, LISA MARIE (PHARMD, RPH)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:MARIE
Last Name:AKINSKAS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 ASHBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3820
Mailing Address - Country:US
Mailing Address - Phone:856-795-6657
Mailing Address - Fax:
Practice Address - Street 1:4314 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5232
Practice Address - Country:US
Practice Address - Phone:215-386-2093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist