Healthcare Provider Details

I. General information

NPI: 1922282177
Provider Name (Legal Business Name): CHRISTOPHER LAWRENCE ANGELI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 05/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CENTRAL AVE SE
ALBUQUERQUE NM
87106-4930
US

IV. Provider business mailing address

1501 SAN PEDRO NE
ALBUQERQUE NM
87108
US

V. Phone/Fax

Practice location:
  • Phone: 505-841-1545
  • Fax:
Mailing address:
  • Phone: 505-265-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP6876
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: