Provider Demographics
NPI:1437467412
Name:SOLES, ANGELA ROOKS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ROOKS
Last Name:SOLES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:JEAN
Other - Last Name:ROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 CAPE FEAR DR
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8752
Mailing Address - Country:US
Mailing Address - Phone:910-840-2393
Mailing Address - Fax:
Practice Address - Street 1:900 N JK POWELL BLVD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2115
Practice Address - Country:US
Practice Address - Phone:910-642-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0245563Medicaid