Individual
JANIS LYNNE VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 RIVERSIDE DR, WALMART PHARMACY, PARKER, AZ 85344
(928) 669-8306
(928) 669-8357
Mailing address
100 RIVERSIDE DR, WALMART PHARMACY, PARKER, AZ 85344
(928) 669-8306
(928) 669-8357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18018
NV
183500000X
Pharmacist
5302023547
MI
183500000X
Pharmacist
PS32405
FL
183500000X
Pharmacist
Primary
S020425
AZ
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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