Provider Demographics
NPI:1871654277
Name:REED, ANGELA K (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:K
Last Name:REED
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 1:1594 MOUNT SALEM RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-9593
Mailing Address - Country:US
Mailing Address - Phone:606-878-8163
Mailing Address - Fax:606-878-9458
Practice Address - Street 1:804 E 4TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1428
Practice Address - Country:US
Practice Address - Phone:606-878-7713
Practice Address - Fax:606-878-9458
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist