Provider Demographics
NPI:1659551208
Name:HATTON, JOANNE J (RPH,CPH,NPH)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:J
Last Name:HATTON
Suffix:
Gender:F
Credentials:RPH,CPH,NPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 531084
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33153-1084
Mailing Address - Country:US
Mailing Address - Phone:305-762-4026
Mailing Address - Fax:
Practice Address - Street 1:144 NE 99TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2341
Practice Address - Country:US
Practice Address - Phone:305-762-4026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 26486183500000X
CO13649183500000X
WI14065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist