Provider Demographics
NPI:1508853524
Name:DOWNING, JANELL NORRIS (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JANELL
Middle Name:NORRIS
Last Name:DOWNING
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 1:3912 TARKLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KITTY HAWK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-4323
Mailing Address - Country:US
Mailing Address - Phone:800-494-3053
Mailing Address - Fax:
Practice Address - Street 1:3912 TARKLE RIDGE RD
Practice Address - Street 2:
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-4323
Practice Address - Country:US
Practice Address - Phone:800-494-3053
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist