Provider Demographics
NPI:1326166653
Name:POWELL, ANGELA RUTH WINSTEAD (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RUTH WINSTEAD
Last Name:POWELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:RUTH
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1335 STALLINGS RD
Mailing Address - Street 2:INGLES PHARMACY #32
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-6946
Mailing Address - Country:US
Mailing Address - Phone:864-322-2813
Mailing Address - Fax:864-322-6613
Practice Address - Street 1:1335 STALLINGS RD
Practice Address - Street 2:INGLES PHARMACY #32
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-6946
Practice Address - Country:US
Practice Address - Phone:864-322-2813
Practice Address - Fax:864-322-6613
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC009599183500000X
SC9599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist