Provider Demographics
NPI:1487971271
Name:JOHNSON, ANGELA TSAI (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:TSAI
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:MENG
Other - Middle Name:SIEN
Other - Last Name:TSAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10 SUNNYBROOK RD # 107
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1808
Mailing Address - Country:US
Mailing Address - Phone:919-250-4418
Mailing Address - Fax:
Practice Address - Street 1:10 SUNNYBROOK RD # 107
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1808
Practice Address - Country:US
Practice Address - Phone:919-250-4418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51485183500000X
NC24944183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist