Individual
ANGELA HOMMERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3600
Mailing address
1083 PENDLETON PKWY UNIT 114, NEENAH, WI 54956-6441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14128-40
WI
1835P1200X
Pharmacotherapy Pharmacist
14128-40
WI
1835X0200X
Oncology Pharmacist
14128-40
WI
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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