Provider Demographics
NPI:1295936284
Name:PACELLI, JOY M (PHARM D)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:M
Last Name:PACELLI
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 1:1202 STATE ST
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-4489
Mailing Address - Country:US
Mailing Address - Phone:630-243-1887
Mailing Address - Fax:630-243-1906
Practice Address - Street 1:1202 STATE ST
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-4489
Practice Address - Country:US
Practice Address - Phone:630-243-1887
Practice Address - Fax:630-243-1906
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist