Provider Demographics
NPI:1497354583
Name:DEUTSCH, JOANNE MARY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:MARY
Last Name:DEUTSCH
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 1:720 SPALDING HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-5538
Mailing Address - Country:US
Mailing Address - Phone:770-313-7238
Mailing Address - Fax:
Practice Address - Street 1:8465 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-8530
Practice Address - Country:US
Practice Address - Phone:770-552-4705
Practice Address - Fax:770-992-7490
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0170031835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Single Specialty