Provider Demographics
NPI:1225342041
Name:D'ANGELO, DENISE ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:ANN
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11116 WEST PARK ST
Mailing Address - Street 2:
Mailing Address - City:PAVILION
Mailing Address - State:NY
Mailing Address - Zip Code:14525
Mailing Address - Country:US
Mailing Address - Phone:585-315-3134
Mailing Address - Fax:
Practice Address - Street 1:3800 DEWEY AVE
Practice Address - Street 2:
Practice Address - City:GREECE
Practice Address - State:NY
Practice Address - Zip Code:14616-2529
Practice Address - Country:US
Practice Address - Phone:585-957-7389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist