Provider Demographics
NPI:1679870224
Name:GASKINS, JANET PICKLER (RPH)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:PICKLER
Last Name:GASKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 OLD CHAPEL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-1904
Mailing Address - Country:US
Mailing Address - Phone:704-554-6914
Mailing Address - Fax:
Practice Address - Street 1:510 TOM HALL ST
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-2035
Practice Address - Country:US
Practice Address - Phone:803-547-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13154183500000X
SC11593183500000X
FL33118183500000X
GA18760183500000X
NC17965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist