Provider Demographics
NPI:1609152305
Name:PINTOR, JANA ADRIENNE (PHARM D)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:ADRIENNE
Last Name:PINTOR
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 1:908 PENNWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2875
Mailing Address - Country:US
Mailing Address - Phone:406-239-8797
Mailing Address - Fax:
Practice Address - Street 1:869 E AVALON ST
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-2141
Practice Address - Country:US
Practice Address - Phone:208-319-0205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist