Provider Demographics
NPI:1760021174
Name:CROMWELL, JOYCE R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:R
Last Name:CROMWELL
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 1:1900 E GOLF RD STE 950A
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5034
Mailing Address - Country:US
Mailing Address - Phone:630-332-0003
Mailing Address - Fax:
Practice Address - Street 1:446 HORIZON DR W
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-6552
Practice Address - Country:US
Practice Address - Phone:630-962-6873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051040818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist