Provider Demographics
NPI:1225305907
Name:AWRAMKO, JEANETTE ANN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:ANN
Last Name:AWRAMKO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 MINNESOTA 7
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305
Mailing Address - Country:US
Mailing Address - Phone:952-939-1917
Mailing Address - Fax:
Practice Address - Street 1:1511 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-4739
Practice Address - Country:US
Practice Address - Phone:952-939-1917
Practice Address - Fax:952-939-1881
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist