Provider Demographics
NPI:1689941452
Name:GAMBRELL, JANET M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:GAMBRELL
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 1:2909 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2227
Mailing Address - Country:US
Mailing Address - Phone:615-476-0040
Mailing Address - Fax:
Practice Address - Street 1:2909 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2227
Practice Address - Country:US
Practice Address - Phone:615-366-4280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8681183500000X
LA14762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist