MEDICARE: ANGELA HANGGI 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
1	183500000X	Pharmacist	118344	MN

General Provider Information

NPI Number	:	1972888980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA HANGGI PHARMD

Provider Business Mailing Address
First Line	:	3700 SILVER LAKE RD NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55421-4222
Country	:	US
Telephone Number	:	612-706-1988
Fax Number	:	612-706-1666

Provider Business Practice Location Address
First Line	:	3700 SILVER LAKE RD NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55421-4222
Country	:	US
Telephone Number	:	612-706-1988
Fax Number	:	612-706-1666

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

Provider Enumeration Date	:	10/21/2011
Last Update Date	:	10/21/2011

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