Provider Demographics
NPI:1750455291
Name:LI, JOYCE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10515 BAYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2416
Mailing Address - Country:US
Mailing Address - Phone:408-851-9017
Mailing Address - Fax:408-851-3094
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:HOMESTEAD CAMPUS, DEPT 348
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-9017
Practice Address - Fax:408-851-3094
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 55284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist