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NPI Code Detail

MEDICARE: DR. ANGELA DEANN PYATTE PHARMD

MEDICARE: DR. ANGELA DEANN PYATTE PHARMD
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
1183500000XPharmacist11460NC

General Provider Information

NPI Number : 1154655306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA DEANN PYATTE PHARMD
Provider Business Mailing Address
First Line : 1138 SABBATH HOME RD SW
Second Line :
City : HOLDEN BEACH
State : NC
Zip : 28462-5364
Country : US
Telephone Number : 910-846-3336
Fax Number :
Provider Business Practice Location Address
First Line : 1138 SABBATH HOME RD SW
Second Line :
City : HOLDEN BEACH
State : NC
Zip : 28462-5364
Country : US
Telephone Number : 910-846-3336
Fax Number : 910-846-3339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2009
Last Update Date : 09/21/2009

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Directions to “ DR. ANGELA DEANN PYATTE PHARMD” Practice Location

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