Provider Demographics
NPI:1750573119
Name:VOXAKIS, ANGELO CHRISTOPHER (RPH)
Entity type:Individual
Prefix:MR
First Name:ANGELO
Middle Name:CHRISTOPHER
Last Name:VOXAKIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13216 DULANEY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ARM
Mailing Address - State:MD
Mailing Address - Zip Code:21057-9613
Mailing Address - Country:US
Mailing Address - Phone:410-667-7600
Mailing Address - Fax:410-357-8002
Practice Address - Street 1:216 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:PARKTON
Practice Address - State:MD
Practice Address - Zip Code:21120-9725
Practice Address - Country:US
Practice Address - Phone:410-357-4211
Practice Address - Fax:410-357-8002
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist