Provider Demographics
NPI:1194001487
Name:AKPO-ESAMBE, MERCY E (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MERCY
Middle Name:E
Last Name:AKPO-ESAMBE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14815 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4009
Mailing Address - Country:US
Mailing Address - Phone:216-221-5898
Mailing Address - Fax:
Practice Address - Street 1:14815 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4009
Practice Address - Country:US
Practice Address - Phone:216-221-5898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03224573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist