Provider Demographics
NPI:1760083638
Name:GOODWIN, JOYCE HADLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:HADLEY
Last Name:GOODWIN
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 1:1231 OLD PRATTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-1745
Mailing Address - Country:US
Mailing Address - Phone:334-546-0442
Mailing Address - Fax:
Practice Address - Street 1:145 KELLEY BLVD
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2200
Practice Address - Country:US
Practice Address - Phone:334-285-0322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist