Provider Demographics
NPI:1588798086
Name:VEAL, ANGELA MOTZKUS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MOTZKUS
Last Name:VEAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 COUNTY ROAD 1310
Mailing Address - Street 2:
Mailing Address - City:VINEMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35179-6835
Mailing Address - Country:US
Mailing Address - Phone:256-739-2416
Mailing Address - Fax:
Practice Address - Street 1:626 OLIVE ST SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5594
Practice Address - Country:US
Practice Address - Phone:256-739-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist