Provider Demographics
NPI:1639633449
Name:SADOWSKI, ANGELICA LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:LOUISE
Last Name:SADOWSKI
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 1:5319 VERMELLA WAY
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1334
Mailing Address - Country:US
Mailing Address - Phone:585-489-6085
Mailing Address - Fax:
Practice Address - Street 1:100 FARM VW
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1865
Practice Address - Country:US
Practice Address - Phone:551-249-2145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03886600183500000X
NY063487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist