Provider Demographics
NPI:1245717479
Name:POPE, JANELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-1924
Mailing Address - Country:US
Mailing Address - Phone:419-509-2372
Mailing Address - Fax:
Practice Address - Street 1:3013 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4603
Practice Address - Country:US
Practice Address - Phone:419-243-9803
Practice Address - Fax:419-241-1794
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033373551835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03337355OtherOHIO PHARMACIST LICENSE