Provider Demographics
NPI:1427329598
Name:CHALMERS, ANGELA RAE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RAE
Last Name:CHALMERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 W SAN MIGUEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5725
Mailing Address - Country:US
Mailing Address - Phone:813-205-9282
Mailing Address - Fax:
Practice Address - Street 1:2295 E BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-2324
Practice Address - Country:US
Practice Address - Phone:727-585-6810
Practice Address - Fax:727-581-2141
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS25569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist