Maria T Angelici, RPH
Individual provider Active NPI Pharmacist · Missoula, MT
NPI 1487812657 · NPPES record last updated May 23, 2008
Key facts
- NPI
- 1487812657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3592 (MT)
- Practice address
- 3626 Brooks St
Missoula, MT 59801-7360 - Phone
- (406) 251-0497
- Fax
- (406) 251-0240
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3592 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3592 | MT | Yes |
Addresses
Primary practice location
3626 Brooks St
Missoula, MT 59801-7360
Mailing address
4080 Jamie Ann Dr
Missoula, MT 59803-2789
Phone (406) 207-2334
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.