Provider Demographics
NPI:1346535465
Name:SUNDERLAND, JOYCE MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MARIE
Last Name:SUNDERLAND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 COMMERCE WAY
Mailing Address - Street 2:T-1374
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5816
Mailing Address - Country:US
Mailing Address - Phone:508-336-1107
Mailing Address - Fax:508-336-1107
Practice Address - Street 1:79 COMMERCE WAY
Practice Address - Street 2:T-1374
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-5816
Practice Address - Country:US
Practice Address - Phone:508-336-1107
Practice Address - Fax:508-336-1107
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist