Provider Demographics
NPI:1033497607
Name:STEDRONSKY, JANET LEAH (RPH)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:LEAH
Last Name:STEDRONSKY
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 1:205 SCOTT TRCE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7204
Mailing Address - Country:US
Mailing Address - Phone:704-636-3553
Mailing Address - Fax:
Practice Address - Street 1:1702 E INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6024
Practice Address - Country:US
Practice Address - Phone:704-633-7135
Practice Address - Fax:704-630-6717
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist