Provider Demographics
NPI:1790062461
Name:ZAGHI, ANGELA LEE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:LEE
Last Name:ZAGHI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14920 RAYMER ST
Mailing Address - Street 2:T-1309
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-1146
Mailing Address - Country:US
Mailing Address - Phone:818-631-9118
Mailing Address - Fax:
Practice Address - Street 1:14920 RAYMER ST
Practice Address - Street 2:T-1309
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1146
Practice Address - Country:US
Practice Address - Phone:818-631-9118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist