Provider Demographics
NPI:1548559719
Name:THORNTON, JOEY CHARLES (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:JOEY
Middle Name:CHARLES
Last Name:THORNTON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 MALLORY LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8212
Mailing Address - Country:US
Mailing Address - Phone:615-771-7138
Mailing Address - Fax:
Practice Address - Street 1:2020 MALLORY LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8212
Practice Address - Country:US
Practice Address - Phone:615-771-7638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist