Provider Demographics
NPI:1518144013
Name:MERCER, ANGELA HOFFMANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:HOFFMANN
Last Name:MERCER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:JOY
Other - Last Name:HOFFMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:108 KNOTTY PINE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-2155
Mailing Address - Country:US
Mailing Address - Phone:706-733-0188
Mailing Address - Fax:706-823-3968
Practice Address - Street 1:1 FREEDOM WAY
Practice Address - Street 2:PHARMACY DEPARTMENT (114)
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6285
Practice Address - Country:US
Practice Address - Phone:706-733-0188
Practice Address - Fax:706-823-3968
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist