MEDICARE: DR. ANGELA VIRGINIA BROOKS PHARMD, RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS46885	FL

General Provider Information

NPI Number	:	1023389640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA VIRGINIA BROOKS PHARMD, RPH

Provider Business Mailing Address
First Line	:	10831 SEMINOLE DR N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33708
Country	:	US
Telephone Number	:	508-369-7296
Fax Number	:	727-379-1459

Provider Business Practice Location Address
First Line	:	10831 SEMINOLE DR N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33708
Country	:	US
Telephone Number	:	508-369-7296
Fax Number	:	727-379-1459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	09/23/2024

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