Provider Demographics
NPI:1902183296
Name:JOYCE, BRIAN M (RPH)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:M
Last Name:JOYCE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 SENECA DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-3613
Mailing Address - Country:US
Mailing Address - Phone:330-545-9041
Mailing Address - Fax:
Practice Address - Street 1:100 HIGHTOWER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1134
Practice Address - Country:US
Practice Address - Phone:412-788-0438
Practice Address - Fax:412-787-5089
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03214034183500000X
PARP040456R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist