Provider Demographics
NPI:1770915381
Name:ROOD, JANIS MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANIS
Middle Name:MARIE
Last Name:ROOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:JANIS
Other - Middle Name:MARIE
Other - Last Name:TIPPIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7684 PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9462
Mailing Address - Country:US
Mailing Address - Phone:734-645-8151
Mailing Address - Fax:
Practice Address - Street 1:7800 W OUTER DR
Practice Address - Street 2:SUITE #240
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3461
Practice Address - Country:US
Practice Address - Phone:313-543-6685
Practice Address - Fax:313-543-6283
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22061183500000X
MI53020394751835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist