Provider Demographics
NPI:1720138548
Name:HINAMAN, JANICE L (RPH)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:HINAMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 FOREST CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-3503
Mailing Address - Country:US
Mailing Address - Phone:716-694-3138
Mailing Address - Fax:716-694-3139
Practice Address - Street 1:525 DIVISION ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4403
Practice Address - Country:US
Practice Address - Phone:716-694-3138
Practice Address - Fax:716-694-3139
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist