Provider Demographics
NPI:1033442389
Name:GROCHOWSKI, JANET (RPH)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:GROCHOWSKI
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 1:800 DUBOCE AVE
Mailing Address - Street 2:APT 201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3149
Mailing Address - Country:US
Mailing Address - Phone:415-621-1397
Mailing Address - Fax:
Practice Address - Street 1:800 DUBOCE AVE
Practice Address - Street 2:APT 201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-3149
Practice Address - Country:US
Practice Address - Phone:415-621-1397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59538183500000X
NY041408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist