Healthcare Provider Details

I. General information

NPI: 1790090447
Provider Name (Legal Business Name): CHRISTINE DEANGELO PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W BROAD ST
QUAKERTOWN PA
18951-1250
US

IV. Provider business mailing address

1972 MOLINARO DR
ALLENTOWN PA
18104-1219
US

V. Phone/Fax

Practice location:
  • Phone: 215-536-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP444685
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: