Provider Demographics
NPI:1104092824
Name:BEERY, JOYCE ANNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ANNA
Last Name:BEERY
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 1:450 BLUE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-1525
Mailing Address - Country:US
Mailing Address - Phone:610-863-6101
Mailing Address - Fax:
Practice Address - Street 1:450 BLUE VALLEY DR
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-1525
Practice Address - Country:US
Practice Address - Phone:610-863-6101
Practice Address - Fax:610-863-1559
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist