Provider Demographics
NPI:1386793388
Name:VERRANT, JANENE RAE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANENE
Middle Name:RAE
Last Name:VERRANT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 LE BEAU LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-4212
Mailing Address - Country:US
Mailing Address - Phone:314-223-3253
Mailing Address - Fax:
Practice Address - Street 1:269 LE BEAU LN
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-4212
Practice Address - Country:US
Practice Address - Phone:314-223-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0451171835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric