Provider Demographics
NPI:1629121678
Name:RHUDE, ANGELA REZZAN (RPH)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:REZZAN
Last Name:RHUDE
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:PSC 3 BOX 1563
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09021
Mailing Address - Country:DE
Mailing Address - Phone:49637-186-7129
Mailing Address - Fax:
Practice Address - Street 1:CMP 402
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:49637-186-7129
Practice Address - Fax:49637-186-8267
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10730183500000X
NJ28RI02183500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist