Provider Demographics
NPI:1336268242
Name:ZEITLER, JANET E (BS PHARMACY)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:ZEITLER
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 EAST DELAWARE ST
Mailing Address - Street 2:BOX 9
Mailing Address - City:MILTON
Mailing Address - State:IA
Mailing Address - Zip Code:52570
Mailing Address - Country:US
Mailing Address - Phone:641-656-4250
Mailing Address - Fax:
Practice Address - Street 1:301 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:IA
Practice Address - Zip Code:52537-1647
Practice Address - Country:US
Practice Address - Phone:641-664-2975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA13948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA13948OtherPHARMACIST LICENSE