Provider Demographics
NPI:1134220833
Name:ORR, ANGELA MARIE (RPH)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:ORR
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 238
Mailing Address - Street 2:
Mailing Address - City:EAST WATERBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04030-0238
Mailing Address - Country:US
Mailing Address - Phone:207-468-3475
Mailing Address - Fax:
Practice Address - Street 1:20 SOKOKIS TRL
Practice Address - Street 2:
Practice Address - City:WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04087-3056
Practice Address - Country:US
Practice Address - Phone:207-247-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME5004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME5004OtherPHARMACIST LICENSE