Provider Demographics
NPI:1194094896
Name:JANES, CARMEN NOBRE (PHARMD)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:NOBRE
Last Name:JANES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:
Other - Last Name:NOBRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:600 NORTH WOLFE STREET
Mailing Address - Street 2:CARNEGIE 180
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-6180
Mailing Address - Country:US
Mailing Address - Phone:443-823-1393
Mailing Address - Fax:
Practice Address - Street 1:600 NORTH WOLFE STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-6180
Practice Address - Country:US
Practice Address - Phone:443-823-1393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-26
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT. 0011953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist