Provider Demographics
NPI:1437467412
Name:SOLES, ANGELA ROOKS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ROOKS
Last Name:SOLES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:JEAN
Other - Last Name:ROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4613
Mailing Address - Country:US
Mailing Address - Phone:910-642-4188
Mailing Address - Fax:910-642-9003
Practice Address - Street 1:801 S MADISON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4613
Practice Address - Country:US
Practice Address - Phone:910-642-4188
Practice Address - Fax:910-642-9003
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0245563Medicaid