Provider Demographics
NPI:1376223891
Name:MCCARTNEY, ANGELA RENEE (RPH)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RENEE
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MCCARTNEY
Other - Last Name:TUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1904 EMMET ST N
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2815
Mailing Address - Country:US
Mailing Address - Phone:434-295-2132
Mailing Address - Fax:
Practice Address - Street 1:1904 EMMET ST N
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2815
Practice Address - Country:US
Practice Address - Phone:434-295-2132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022046421835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care