Provider Demographics
NPI:1033651054
Name:EVANS, JOANNE TINA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:TINA
Last Name:EVANS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:JOANNE
Other - Middle Name:TINA
Other - Last Name:APODACA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3040 W TEMPLE AVE
Mailing Address - Street 2:PHILLIPS RANCH PHARMACY
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-6816
Mailing Address - Country:US
Mailing Address - Phone:909-766-8330
Mailing Address - Fax:909-766-8332
Practice Address - Street 1:3040 W TEMPLE AVE
Practice Address - Street 2:PHILLIPS RANCH PHARMACY
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-6816
Practice Address - Country:US
Practice Address - Phone:909-766-8330
Practice Address - Fax:909-766-8332
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist