Provider Demographics
NPI:1134490063
Name:DRAKE, JANETH ELEANOR (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JANETH
Middle Name:ELEANOR
Last Name:DRAKE
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 1:2508 COLTON PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:919-781-8768
Mailing Address - Fax:919-781-8768
Practice Address - Street 1:2508 COLTON PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7602
Practice Address - Country:US
Practice Address - Phone:919-781-8768
Practice Address - Fax:919-781-8768
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist