Provider Demographics
NPI:1295299741
Name:PASSAMONTE, ANGELA (PHARM D)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:PASSAMONTE
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 1:227 KROCKS RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9469
Mailing Address - Country:US
Mailing Address - Phone:315-427-1673
Mailing Address - Fax:
Practice Address - Street 1:7150 HAMILTON BLVD UNIT 300
Practice Address - Street 2:
Practice Address - City:TREXLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18087-9730
Practice Address - Country:US
Practice Address - Phone:610-391-0254
Practice Address - Fax:610-391-1536
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist