Provider Demographics
NPI:1184106189
Name:JOYCE, LISA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 RILMAN WAY
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-6457
Mailing Address - Country:US
Mailing Address - Phone:864-395-9660
Mailing Address - Fax:
Practice Address - Street 1:3715 E NORTH ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2302
Practice Address - Country:US
Practice Address - Phone:864-244-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25489183500000X
VA0202215998183500000X
DCPH100003071183500000X
SC37884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC37884OtherSC BOARD OF PHARMACY