Provider Demographics
NPI:1073890182
Name:FORLEMU, JOYCE BISI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:BISI
Last Name:FORLEMU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 GREENBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3879
Mailing Address - Country:US
Mailing Address - Phone:832-758-5028
Mailing Address - Fax:
Practice Address - Street 1:1126 WEST BUSINESS 77
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586
Practice Address - Country:US
Practice Address - Phone:956-399-2373
Practice Address - Fax:956-399-8583
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist