Provider Demographics
NPI:1841359643
Name:ISABELLA, BARBARA J (RPH)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:ISABELLA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:KEPKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:840 DAMON DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-2067
Mailing Address - Country:US
Mailing Address - Phone:330-723-1989
Mailing Address - Fax:330-723-1989
Practice Address - Street 1:12301 SNOW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-1002
Practice Address - Country:US
Practice Address - Phone:216-265-6855
Practice Address - Fax:216-265-6856
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-13780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist