Provider Demographics
NPI:1053601419
Name:AKABIKE, CHINEDU INNOCENT (PHARMACIST)
Entity type:Individual
Prefix:
First Name:CHINEDU
Middle Name:INNOCENT
Last Name:AKABIKE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:CHINEDU
Other - Middle Name:INNOCENT
Other - Last Name:AKABIKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1735 E WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1394
Mailing Address - Country:US
Mailing Address - Phone:559-625-3831
Mailing Address - Fax:559-625-3885
Practice Address - Street 1:1735 E. WALNUT AVENUE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292
Practice Address - Country:US
Practice Address - Phone:559-625-3831
Practice Address - Fax:559-625-3885
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH #63325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist