Provider Demographics
NPI:1669926291
Name:DUMONCHELLE, JANET (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:DUMONCHELLE
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 1:6000 J ST
Mailing Address - Street 2:SACRAMENTO STATE STUDENT HEALTH SERVICES PHARMACY
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-2605
Mailing Address - Country:US
Mailing Address - Phone:916-278-6093
Mailing Address - Fax:916-278-6046
Practice Address - Street 1:6000 J ST
Practice Address - Street 2:SACRAMENTO STATE STUDENT HEALTH SERVICES PHARMACY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-2605
Practice Address - Country:US
Practice Address - Phone:916-278-6093
Practice Address - Fax:916-278-6046
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40329183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist