Provider Demographics
NPI:1821216748
Name:ENGLAND, JOANNA MINTON (BS)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:MINTON
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879-0577
Mailing Address - Country:US
Mailing Address - Phone:423-626-6126
Mailing Address - Fax:423-626-1140
Practice Address - Street 1:1444 N BROAD ST
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-4350
Practice Address - Country:US
Practice Address - Phone:423-626-2344
Practice Address - Fax:423-626-2877
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist