Provider Demographics
NPI:1447524822
Name:FINERSON, ANGELA S (PHARMD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:FINERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HICKORY SPRINGS CV
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-3073
Mailing Address - Country:US
Mailing Address - Phone:901-486-9067
Mailing Address - Fax:
Practice Address - Street 1:14860 HIGHWAY 194
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-3406
Practice Address - Country:US
Practice Address - Phone:901-466-9956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist