Provider Demographics
NPI:1083627756
Name:MILLS, JOY
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:MILLS -WOLFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2839 LONGLEAF RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2044
Mailing Address - Country:US
Mailing Address - Phone:850-636-7000
Mailing Address - Fax:850-636-7140
Practice Address - Street 1:101 VERNON AVE.
Practice Address - Street 2:NAVAL SUPPORT ACTIVITY PC/SUITE 387
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32407
Practice Address - Country:US
Practice Address - Phone:850-636-7000
Practice Address - Fax:850-636-7140
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist