Provider Demographics
NPI:1861514788
Name:ENGEL, ERICH ANTON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICH
Middle Name:ANTON
Last Name:ENGEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 LONE EAGLE CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5332
Mailing Address - Country:US
Mailing Address - Phone:919-342-6858
Mailing Address - Fax:
Practice Address - Street 1:3432 EDWARDS MILL RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5360
Practice Address - Country:US
Practice Address - Phone:919-781-9571
Practice Address - Fax:919-781-9005
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006874183500000X
PARP441518183500000X
NC18845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist