Provider Demographics
NPI:1023323052
Name:DUKE, JANA DANNIESE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:DANNIESE
Last Name:DUKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:JANA
Other - Middle Name:DANNIESE
Other - Last Name:RENKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10660 W FM 471
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1320
Mailing Address - Country:US
Mailing Address - Phone:210-684-1234
Mailing Address - Fax:210-684-1713
Practice Address - Street 1:10660 W FM 471
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1320
Practice Address - Country:US
Practice Address - Phone:210-684-1234
Practice Address - Fax:210-684-1713
Is Sole Proprietor?:No
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist