Provider Demographics
NPI:1922814557
Name:SANTANGELO, ANNA ELISE (PHARM D)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ELISE
Last Name:SANTANGELO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1550
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:LA
Mailing Address - Zip Code:70443-1550
Mailing Address - Country:US
Mailing Address - Phone:985-320-6938
Mailing Address - Fax:
Practice Address - Street 1:1910 W THOMAS ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2947
Practice Address - Country:US
Practice Address - Phone:985-345-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist