Provider Demographics
NPI:1134833064
Name:JOY, ABIGAIL VICTORIA (PHARMD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:VICTORIA
Last Name:JOY
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 1:802 EXPERIMENTAL STATION RD # 802-103
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-9115
Mailing Address - Country:US
Mailing Address - Phone:559-705-7428
Mailing Address - Fax:
Practice Address - Street 1:187 NIBLICK RD
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-4845
Practice Address - Country:US
Practice Address - Phone:805-238-2947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH87411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist