Provider Demographics
NPI:1598895294
Name:JOHNSON, JOY C (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:A
Other - Last Name:CARLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:530 OLD WAYNESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-3770
Mailing Address - Country:US
Mailing Address - Phone:912-427-0955
Mailing Address - Fax:
Practice Address - Street 1:101 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31545-0211
Practice Address - Country:US
Practice Address - Phone:912-427-8825
Practice Address - Fax:912-530-6169
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist