Provider Demographics
NPI:1972839504
Name:WILLIAMS, ANGELA MORRIS (RPH)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MORRIS
Last Name:WILLIAMS
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:PO BOX 1837
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-1837
Mailing Address - Country:US
Mailing Address - Phone:919-639-9623
Mailing Address - Fax:919-639-9670
Practice Address - Street 1:253 NORTH RALEIGH STREET
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-1837
Practice Address - Country:US
Practice Address - Phone:919-639-9623
Practice Address - Fax:919-639-9670
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist