Individual
DR. ANGELA MARIE SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1940 CLIFF LAKE RD, EAGAN, MN 55122-2492
(651) 454-5150
(651) 686-5923
Mailing address
5204 ORIOLE DR, FARMINGTON, MN 55024-2006
(651) 454-5150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118515
MN
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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