Provider Demographics
NPI:1073297040
Name:FALADE, JANET M (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:FALADE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 HIGHWAY 81 E # 508934
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-3030
Mailing Address - Country:US
Mailing Address - Phone:678-583-0097
Mailing Address - Fax:
Practice Address - Street 1:5855 BELMONT RIDGE CIR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-4075
Practice Address - Country:US
Practice Address - Phone:678-634-3462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0342391835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy