Provider Demographics
NPI:1043850258
Name:STAPLETON, JANET DEVERA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:DEVERA
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 N BARLEY WAY
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-8236
Mailing Address - Country:US
Mailing Address - Phone:801-661-2507
Mailing Address - Fax:
Practice Address - Street 1:689 N REDWOOD RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5190
Practice Address - Country:US
Practice Address - Phone:385-374-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5238922-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist