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NPI Code Detail

MEDICARE: DR. ANGELA K NAGEL PHARMD, BCPS

MEDICARE: DR. ANGELA K NAGEL PHARMD, BCPS
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
1183500000XPharmacist046911NY
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistI046911NY

General Provider Information

NPI Number : 1396789541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA K NAGEL PHARMD, BCPS
Provider Business Mailing Address
First Line : 913 CULVER RD
Second Line : CULVER MEDICAL GROUP
City : ROCHESTER
State : NY
Zip : 14609-7141
Country : US
Telephone Number : 585-654-5432
Fax Number :
Provider Business Practice Location Address
First Line : 913 CULVER RD
Second Line : CULVER MEDICAL GROUP
City : ROCHESTER
State : NY
Zip : 14609-7141
Country : US
Telephone Number : 585-654-5432
Fax Number : 585-654-5432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 08/28/2015

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