Provider Demographics
NPI:1659675767
Name:WOODY, JOY ELAINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ELAINE
Last Name:WOODY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 MONTGOMERY HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-823-6091
Mailing Address - Fax:205-987-7256
Practice Address - Street 1:1615 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-4901
Practice Address - Country:US
Practice Address - Phone:205-823-6091
Practice Address - Fax:205-987-7256
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist