Provider Demographics
NPI:1801969084
Name:MERRIMAN, JANINE LEIGH (RPH)
Entity type:Individual
Prefix:MS
First Name:JANINE
Middle Name:LEIGH
Last Name:MERRIMAN
Suffix:
Gender:F
Credentials:RPH
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Mailing Address - Street 1:2550 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 110N
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1052
Mailing Address - Country:US
Mailing Address - Phone:952-928-2923
Mailing Address - Fax:651-602-5395
Practice Address - Street 1:2550 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 110N
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1052
Practice Address - Country:US
Practice Address - Phone:952-928-2923
Practice Address - Fax:651-602-5395
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN11373381835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology