Provider Demographics
NPI:1699089573
Name:LEA, JANET HESTER (PHARMACIST)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:HESTER
Last Name:LEA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5760 HESTER STORE RD
Mailing Address - Street 2:
Mailing Address - City:HURDLE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27541-9455
Mailing Address - Country:US
Mailing Address - Phone:336-597-5743
Mailing Address - Fax:336-694-9323
Practice Address - Street 1:5760 HESTER STORE RD
Practice Address - Street 2:
Practice Address - City:HURDLE MILLS
Practice Address - State:NC
Practice Address - Zip Code:27541-9455
Practice Address - Country:US
Practice Address - Phone:336-597-5743
Practice Address - Fax:336-694-9323
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist