Jan S Connelly Md is not a DME supplier for medicare equipments and products.
Jan S Connelly Md is a Non-pharmacy Dispensing Site in Spokane, Washington. This pharmacy is owned and operated by Spokane Ent Clinic Mayfair. It is located at 5901 N Mayfair St, Spokane and it's customer support contact number is 509-489-3514. The authorized person of Jan S Connelly Md is Direndia Shackelford who is Managed Care Specialist of the pharmacy and his contact number is 800-654-0889. Active license number of Jan S Connelly Md is MD00019284 for Non-pharmacy Dispensing Site in Washington. Jan S Connelly Md is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Jan S Connelly Md type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Jan S Connelly Md
Type:
Non-pharmacy Dispensing Site
Location:
5901 N Mayfair St, Spokane, Washington, 99208-5096
Phone:
509-489-3514
Fax:
509-483-2546
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Direndia Shackelford
Position:
Managed Care Specialist
Contact Number:
800-654-0889
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1033154273
NPI Enumeration Date:
20 Jun, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jan S Connelly Md are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
MD00019284
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4931906
Other
Other Id Number-commercial Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5901 N Mayfair St, Spokane, Washington
Zip:
99208-5096
Phone Number:
--
Fax Number:
--
Patients can reach Jan S Connelly Md at 5901 N Mayfair St, Spokane, Washington or can call on customer care at 509-489-3514.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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