Provider Demographics
NPI:1730058736
Name:ANGEL CARE PHARMACY 2
Entity type:Organization
Organization Name:ANGEL CARE PHARMACY 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHANQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-478-2760
Mailing Address - Street 1:7223A RISING SUN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3926
Mailing Address - Country:US
Mailing Address - Phone:484-478-2760
Mailing Address - Fax:610-708-3859
Practice Address - Street 1:303 N LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3423
Practice Address - Country:US
Practice Address - Phone:484-478-2760
Practice Address - Fax:610-708-3859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGEL CARE PHARMACY 2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty