Provider Demographics
NPI:1366758443
Name:FLORA, JANNEL LYNN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JANNEL
Middle Name:LYNN
Last Name:FLORA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:JANNEL
Other - Middle Name:
Other - Last Name:ARAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 934
Mailing Address - Street 2:206 D S ALVARADO
Mailing Address - City:BELLE
Mailing Address - State:MO
Mailing Address - Zip Code:65013-0934
Mailing Address - Country:US
Mailing Address - Phone:573-859-3100
Mailing Address - Fax:573-859-3008
Practice Address - Street 1:206 D S ALVARADO
Practice Address - Street 2:
Practice Address - City:BELLE
Practice Address - State:MO
Practice Address - Zip Code:65013-0934
Practice Address - Country:US
Practice Address - Phone:573-859-3100
Practice Address - Fax:573-859-3008
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009016882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist