Provider Demographics
NPI:1265672869
Name:COMBINE, ANGELA J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:J
Last Name:COMBINE
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 1:223 GROVE CITY RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-8532
Mailing Address - Country:US
Mailing Address - Phone:724-794-0100
Mailing Address - Fax:
Practice Address - Street 1:223 GROVE CITY RD
Practice Address - Street 2:
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057-8532
Practice Address - Country:US
Practice Address - Phone:724-794-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist