Healthcare Provider Details

I. General information

NPI: 1720392301
Provider Name (Legal Business Name): JANET MARIE HEMINGWAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 EL PASEO RD STE G182
LAS CRUCES NM
88001-6024
US

IV. Provider business mailing address

1300 EL PASEO RD STE G182
LAS CRUCES NM
88001-6024
US

V. Phone/Fax

Practice location:
  • Phone: 915-269-2958
  • Fax:
Mailing address:
  • Phone: 915-269-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00007263
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: