Provider Demographics
NPI:1821108242
Name:THORNTON, LISA JOY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JOY
Last Name:THORNTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:JOY
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:51 DOGWOOD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-1933
Mailing Address - Country:US
Mailing Address - Phone:334-272-4670
Mailing Address - Fax:334-260-4133
Practice Address - Street 1:215 PERRY HILL RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-3725
Practice Address - Country:US
Practice Address - Phone:334-272-4670
Practice Address - Fax:334-260-4311
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL134871835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy