Provider Demographics
NPI:1427585926
Name:JOY, JUSTIN M (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:M
Last Name:JOY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 HAWLEY LN
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-5347
Mailing Address - Country:US
Mailing Address - Phone:203-455-0103
Mailing Address - Fax:
Practice Address - Street 1:120 HAWLEY LN
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5347
Practice Address - Country:US
Practice Address - Phone:203-455-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0013985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist