Provider Demographics
NPI:1376553172
Name:SAGARSEE, ANGELINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:SAGARSEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:
Other - Last Name:HAMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1609 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2603
Mailing Address - Country:US
Mailing Address - Phone:574-229-8053
Mailing Address - Fax:
Practice Address - Street 1:611 E DOUGLAS RD STE 412
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1468
Practice Address - Country:US
Practice Address - Phone:574-335-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022042A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist