Provider Demographics
NPI:1538763206
Name:ALCALA-MADDOX, ISABEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:ALCALA-MADDOX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MINT HILL CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6293
Mailing Address - Country:US
Mailing Address - Phone:828-712-8022
Mailing Address - Fax:
Practice Address - Street 1:900 N MADISON BLVD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-4545
Practice Address - Country:US
Practice Address - Phone:336-599-8394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist