Provider Demographics
NPI:1427282235
Name:ARMAGNO, ANGELO SAMUEL (RPHT)
Entity type:Individual
Prefix:MR
First Name:ANGELO
Middle Name:SAMUEL
Last Name:ARMAGNO
Suffix:
Gender:M
Credentials:RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WASHINGTON PL
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2540
Mailing Address - Country:US
Mailing Address - Phone:973-904-1656
Mailing Address - Fax:
Practice Address - Street 1:157 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2635
Practice Address - Country:US
Practice Address - Phone:973-790-3711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RW00806600183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RW00806600OtherNEW JERSEY PHARMACY TECHNICIAN LICENSE