Provider Demographics
NPI:1154497998
Name:BACHMAN, ANGELA MARIE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIE
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E. CARTHAGE STREET
Mailing Address - Street 2:P.O. BOX 280
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-0280
Mailing Address - Country:US
Mailing Address - Phone:620-873-2641
Mailing Address - Fax:620-873-2388
Practice Address - Street 1:106 E. CARTHAGE
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864-0280
Practice Address - Country:US
Practice Address - Phone:620-873-2641
Practice Address - Fax:620-873-2388
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist