Provider Demographics
NPI:1508269457
Name:SALAKO, MEBANGA OJONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEBANGA
Middle Name:OJONG
Last Name:SALAKO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEBANGA
Other - Middle Name:NTUI
Other - Last Name:OJONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8901 ROCKVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-319-2371
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-8736
Practice Address - Country:US
Practice Address - Phone:301-319-2371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554481835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist