Provider Demographics
NPI:1962599449
Name:SELLERS, JANELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:SELLERS
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 1:502 N PACIFIC ST
Mailing Address - Street 2:APT 213
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-3344
Mailing Address - Country:US
Mailing Address - Phone:308-520-2524
Mailing Address - Fax:
Practice Address - Street 1:600 E FRANCIS ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6796
Practice Address - Country:US
Practice Address - Phone:308-532-6906
Practice Address - Fax:308-532-6964
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist