Provider Demographics
NPI:1235267717
Name:JOYCE, TAMELA R
Entity Type:Individual
Prefix:
First Name:TAMELA
Middle Name:R
Last Name:JOYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 ROSE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27281-8132
Mailing Address - Country:US
Mailing Address - Phone:910-281-0589
Mailing Address - Fax:
Practice Address - Street 1:1630 ROSE RIDGE RD
Practice Address - Street 2:
Practice Address - City:JACKSON SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27281-8132
Practice Address - Country:US
Practice Address - Phone:910-281-0589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist