Provider Demographics
NPI:1528324803
Name:AKARAGWE, ISABEL
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:AKARAGWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 CRAWFORDS CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2349
Mailing Address - Country:US
Mailing Address - Phone:240-413-6842
Mailing Address - Fax:
Practice Address - Street 1:609
Practice Address - Street 2:TAYLOR AVE
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-268-5007
Practice Address - Fax:410-268-0370
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24343183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist