=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730984253
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JANET PHARMACY ENTERPRISES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2025
-----------------------------------------------------
Last Update Date | 03/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4300 ROSE DR STE D
-----------------------------------------------------
City | YORBA LINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92886-2026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-528-3610
-----------------------------------------------------
Fax | 714-528-0701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4300 ROSE DR STE D
-----------------------------------------------------
City | YORBA LINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92886-2026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-528-3610
-----------------------------------------------------
Fax | 714-528-0701
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST
-----------------------------------------------------
Name | MALCOLM JANET
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 714-528-3610
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------