Provider Demographics
NPI:1679170914
Name:AKO, ROLAND (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:
Last Name:AKO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 W AIRPORT FWY STE 151
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6216
Mailing Address - Country:US
Mailing Address - Phone:469-647-5296
Mailing Address - Fax:469-647-5332
Practice Address - Street 1:1111 W AIRPORT FWY STE 151
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6216
Practice Address - Country:US
Practice Address - Phone:469-647-5296
Practice Address - Fax:469-647-5332
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist