Provider Demographics
NPI:1386113033
Name:ADAIR, ANGELINA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:ADAIR
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 1:718 GILBERTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-1406
Mailing Address - Country:US
Mailing Address - Phone:267-784-7449
Mailing Address - Fax:
Practice Address - Street 1:61 KINGS PLZ
Practice Address - Street 2:
Practice Address - City:OLEY
Practice Address - State:PA
Practice Address - Zip Code:19547-8718
Practice Address - Country:US
Practice Address - Phone:610-987-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI008555183500000X
PARP443636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist