Provider Demographics
NPI:1659026466
Name:KNIGHT, ANGELA ROSE (PHARMD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:ROSE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HELEN HOLCOMBE WAY
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-7425
Mailing Address - Country:US
Mailing Address - Phone:715-944-4337
Mailing Address - Fax:
Practice Address - Street 1:150 E 42ND ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5612
Practice Address - Country:US
Practice Address - Phone:877-234-6667
Practice Address - Fax:646-537-1481
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC279371835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care