Provider Demographics
NPI:1740738046
Name:KAUFFMANN, JANINE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:
Last Name:KAUFFMANN
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 1:6393 E ANDOVER LN
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-9234
Mailing Address - Country:US
Mailing Address - Phone:515-306-4316
Mailing Address - Fax:
Practice Address - Street 1:7720 EAST HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314
Practice Address - Country:US
Practice Address - Phone:928-772-7673
Practice Address - Fax:928-772-6283
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist