Provider Demographics
NPI:1831649383
Name:CHRISTMAN, JANELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1642 BERKELEY ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-4133
Mailing Address - Country:US
Mailing Address - Phone:559-972-2933
Mailing Address - Fax:
Practice Address - Street 1:1642 BERKELEY ST APT 3
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-4133
Practice Address - Country:US
Practice Address - Phone:559-972-2933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-08
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist