Provider Demographics
NPI:1255747663
Name:HARDCASTLE, ANGELA JOANNE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:JOANNE
Last Name:HARDCASTLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:JOANNE
Other - Last Name:TURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 S 300 W
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-3053
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1110 S 300 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-3053
Practice Address - Country:US
Practice Address - Phone:801-401-9563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6439608-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist