Provider Demographics
NPI:1457131864
Name:THOMPSON, JANELLE PATRICIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:PATRICIA
Last Name:THOMPSON
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 1:1430 SUNSET PRESERVE WAY
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33953-2087
Mailing Address - Country:US
Mailing Address - Phone:540-842-6584
Mailing Address - Fax:
Practice Address - Street 1:19451 COCHRAN BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-2017
Practice Address - Country:US
Practice Address - Phone:941-235-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66261183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist