Healthcare Provider Details

I. General information

NPI: 1063909794
Provider Name (Legal Business Name): JANET ARRAZCAETA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10650 PARK RD
CHARLOTTE NC
28210-8538
US

IV. Provider business mailing address

1021 MOREHEAD MEDICAL DR STE 4202
CHARLOTTE NC
28204-2990
US

V. Phone/Fax

Practice location:
  • Phone: 786-218-7839
  • Fax:
Mailing address:
  • Phone: 786-218-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number25806
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: