Provider Demographics
NPI:1376755702
Name:SANTOS, ANGELO (PHARMDD)
Entity Type:Individual
Prefix:DR
First Name:ANGELO
Middle Name:
Last Name:SANTOS
Suffix:
Gender:M
Credentials:PHARMDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 AIKEN AVE
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-5034
Mailing Address - Country:US
Mailing Address - Phone:978-758-7390
Mailing Address - Fax:
Practice Address - Street 1:58 PLAISTOW RD
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-2831
Practice Address - Country:US
Practice Address - Phone:603-382-2844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist