Provider Demographics
NPI:1427486844
Name:LAMBERT, ANGELA
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 32ND ST N
Mailing Address - Street 2:TARGET PHARMACY
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-4054
Mailing Address - Country:US
Mailing Address - Phone:651-855-0991
Mailing Address - Fax:
Practice Address - Street 1:7900 32ND ST N
Practice Address - Street 2:TARGET PHARMACY
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-4054
Practice Address - Country:US
Practice Address - Phone:651-855-0991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist