Healthcare Provider Details

I. General information

NPI: 1154875813
Provider Name (Legal Business Name): CLARA OYERE AKERELE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: UNKNWON OYERE AYUK OJONG

II. Dates (important events)

Enumeration Date: 08/11/2016
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7008 MARLBORO PIKE
FORESTVILLE MD
20747-3242
US

IV. Provider business mailing address

7008 MARLBORO PIKE
FORESTVILLE MD
20747-3242
US

V. Phone/Fax

Practice location:
  • Phone: 240-462-9981
  • Fax:
Mailing address:
  • Phone: 301-420-3240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29590
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: