Provider Demographics
NPI:1265912307
Name:WEISS, JANNA HARDY (RPH)
Entity type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:HARDY
Last Name:WEISS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CHANDON PLACE CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4046
Mailing Address - Country:US
Mailing Address - Phone:407-256-2647
Mailing Address - Fax:
Practice Address - Street 1:305 CHANDON PLACE CT
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4046
Practice Address - Country:US
Practice Address - Phone:307-256-2647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19230183500000X
PARP034218L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist