Healthcare Provider Details

I. General information

NPI: 1619506656
Provider Name (Legal Business Name): JANELLE FRANCISCO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANELLE OLARTE

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 FERRY ST
SEDRO WOOLLEY WA
98284-1412
US

IV. Provider business mailing address

1990 HOSPITAL DR STE 120
SEDRO WOOLLEY WA
98284-9315
US

V. Phone/Fax

Practice location:
  • Phone: 360-853-2003
  • Fax: 360-853-2004
Mailing address:
  • Phone: 360-853-2003
  • Fax: 360-853-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60996754
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60996754
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: