Provider Demographics
NPI:1851366280
Name:GILES, JANICE T (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:T
Last Name:GILES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4055 CASCADE RD SE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-252-4045
Mailing Address - Fax:616-252-4092
Practice Address - Street 1:4055 CASCADE RD SE
Practice Address - Street 2:SUITE 204
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-252-4045
Practice Address - Fax:616-252-4092
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5302033469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist