Provider Demographics
NPI:1780748509
Name:DARNELL, JOY RUTH (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:RUTH
Last Name:DARNELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 BRETON CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4648
Mailing Address - Country:US
Mailing Address - Phone:239-768-6098
Mailing Address - Fax:239-454-2209
Practice Address - Street 1:15051 SHELL POINT BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-1639
Practice Address - Country:US
Practice Address - Phone:239-454-2234
Practice Address - Fax:239-454-2209
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS22651183500000X
TX28506183500000X
CO12262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist