Healthcare Provider Details

I. General information

NPI: 1538127931
Provider Name (Legal Business Name): ANGELA BETH HOTH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 W VA MEDICAL CENTER - PRIMARY CARE 111H
IOWA CITY IA
52246-2292
US

IV. Provider business mailing address

905 RIDER ST
IOWA CITY IA
52246-3824
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax:
Mailing address:
  • Phone: 319-466-0288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17841
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: