Provider Demographics
NPI:1194718783
Name:SENNICK, JANICE K (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:K
Last Name:SENNICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:K
Other - Last Name:PARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:87 W STAFFORD RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-1044
Mailing Address - Country:US
Mailing Address - Phone:860-684-4597
Mailing Address - Fax:
Practice Address - Street 1:67 PROSPECT HILL RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-3605
Practice Address - Country:US
Practice Address - Phone:860-623-1407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist