Provider Demographics
NPI:1952919664
Name:STANLEY, JANICE C (RPH)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:C
Last Name:STANLEY
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:PO BOX 7925
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-7925
Mailing Address - Country:US
Mailing Address - Phone:670-789-8403
Mailing Address - Fax:
Practice Address - Street 1:DANDAN COMMERCIAL CENTER
Practice Address - Street 2:MSGR GUERRERO RD
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-235-6170
Practice Address - Fax:670-235-6180
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP00791835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist