Provider Demographics
NPI:1992592539
Name:MABE, JANET (RPH)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:MABE
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 MONTROSE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-6506
Mailing Address - Country:US
Mailing Address - Phone:803-422-4848
Mailing Address - Fax:803-422-4848
Practice Address - Street 1:351 MONTROSE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-6506
Practice Address - Country:US
Practice Address - Phone:803-422-4848
Practice Address - Fax:803-422-4848
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist