Provider Demographics
NPI:1932379450
Name:HORLOCHER, ANGELICA (RPH)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:HORLOCHER
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 1:39 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-3421
Mailing Address - Country:US
Mailing Address - Phone:631-734-7733
Mailing Address - Fax:631-734-2193
Practice Address - Street 1:31525 MAIN RD
Practice Address - Street 2:
Practice Address - City:CUTCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11935-1343
Practice Address - Country:US
Practice Address - Phone:631-734-7733
Practice Address - Fax:631-734-2193
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist