Individual
MRS. ANGELA SOURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
511 W CALUMET ST, APPLETON, WI 54915-1462
(920) 734-3882
(920) 734-4799
Mailing address
511 W CALUMET ST, APPLETON, WI 54915-1462
(920) 734-3882
(920) 734-4799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12999-040
WI
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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