Provider Demographics
NPI:1831794122
Name:WATT, JOYLETTE (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOYLETTE
Middle Name:
Last Name:WATT
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 1:501 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-1607
Mailing Address - Country:US
Mailing Address - Phone:413-284-7773
Mailing Address - Fax:
Practice Address - Street 1:574B HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-4048
Practice Address - Country:US
Practice Address - Phone:888-839-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist