Provider Demographics
NPI:1679894125
Name:JANES, HAROLD JOSEPH II
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:JOSEPH
Last Name:JANES
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 RUTHAR DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-8025
Mailing Address - Country:US
Mailing Address - Phone:800-727-0123
Mailing Address - Fax:800-775-3275
Practice Address - Street 1:111 RUTHAR DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8025
Practice Address - Country:US
Practice Address - Phone:800-727-0123
Practice Address - Fax:800-775-3275
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist