Healthcare Provider Details

I. General information

NPI: 1508335167
Provider Name (Legal Business Name): ANGELA HUANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2473 HACKWORTH RD
FORESTDALE AL
35214-1909
US

IV. Provider business mailing address

1300 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-2702
US

V. Phone/Fax

Practice location:
  • Phone: 205-798-9619
  • Fax:
Mailing address:
  • Phone: 540-819-2688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202217196
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20566
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: