Provider Demographics
NPI:1508335167
Name:HUANG, ANGELA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MONTGOMERY HWY
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2702
Mailing Address - Country:US
Mailing Address - Phone:540-819-2688
Mailing Address - Fax:
Practice Address - Street 1:2473 HACKWORTH RD
Practice Address - Street 2:
Practice Address - City:FORESTDALE
Practice Address - State:AL
Practice Address - Zip Code:35214-1909
Practice Address - Country:US
Practice Address - Phone:205-798-9619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217196183500000X
AL20566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist