Provider Demographics
NPI:1083257802
Name:ANGIER FAMILY PHARMACY, LLC
Entity Type:Organization
Organization Name:ANGIER FAMILY PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LISCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-639-0155
Mailing Address - Street 1:50 E DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-6017
Mailing Address - Country:US
Mailing Address - Phone:919-639-0155
Mailing Address - Fax:919-639-2755
Practice Address - Street 1:50 E DEPOT ST
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6017
Practice Address - Country:US
Practice Address - Phone:919-639-0155
Practice Address - Fax:919-639-2755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGIER FAMILY PHARMACY, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy