Provider Demographics
NPI:1053621185
Name:ENGLANDER, JANICE LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LYNN
Last Name:ENGLANDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:551 SOUTHAMPTON DR
Mailing Address - Street 2:MIZZOU PHARMACY-SOUTH PROVIDENCE
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-3057
Mailing Address - Country:US
Mailing Address - Phone:573-882-3151
Mailing Address - Fax:
Practice Address - Street 1:551 SOUTHAMPTON DR
Practice Address - Street 2:MIZZOU PHARMACY - SOUTH PROVIDENCE
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-3057
Practice Address - Country:US
Practice Address - Phone:573-882-3151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO040518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist