Provider Demographics
NPI:1073821179
Name:BRYANT, JOY LAVERNE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:LAVERNE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 LYNNOAK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3673
Mailing Address - Country:US
Mailing Address - Phone:919-846-2583
Mailing Address - Fax:
Practice Address - Street 1:6909 LYNNOAK DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3673
Practice Address - Country:US
Practice Address - Phone:919-846-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist