Provider Demographics
NPI:1144385949
Name:CLAUDY, JANELL RAE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JANELL
Middle Name:RAE
Last Name:CLAUDY
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 1:105 SIERRA LN
Mailing Address - Street 2:
Mailing Address - City:ARCANUM
Mailing Address - State:OH
Mailing Address - Zip Code:45304-1364
Mailing Address - Country:US
Mailing Address - Phone:937-692-8159
Mailing Address - Fax:937-548-5372
Practice Address - Street 1:5735 MEEKER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1180
Practice Address - Country:US
Practice Address - Phone:937-548-2953
Practice Address - Fax:937-548-5372
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03213767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist