Provider Demographics
NPI:1558609685
Name:LINNEMAN, JANELLE K (PHARM D)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:K
Last Name:LINNEMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 S LOUISE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-2329
Mailing Address - Country:US
Mailing Address - Phone:605-361-1382
Mailing Address - Fax:605-361-6972
Practice Address - Street 1:4101 S LOUISE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-2329
Practice Address - Country:US
Practice Address - Phone:605-361-1382
Practice Address - Fax:605-361-6972
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD-5045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist