Provider Demographics
NPI:1730471723
Name:WILLIAMS, JOANN CANADAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:CANADAY
Last Name:WILLIAMS
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 1:3333 PINEVILLE MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-9322
Mailing Address - Country:US
Mailing Address - Phone:704-544-4815
Mailing Address - Fax:704-544-4829
Practice Address - Street 1:3333 PINEVILLE MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-9322
Practice Address - Country:US
Practice Address - Phone:704-544-4815
Practice Address - Fax:704-544-4829
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist