Provider Demographics
NPI:1194990788
Name:ALONZO, JOY PRISCILLA (RPH)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:PRISCILLA
Last Name:ALONZO
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 1:3 KERINS TER
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-4023
Mailing Address - Country:US
Mailing Address - Phone:401-619-2733
Mailing Address - Fax:
Practice Address - Street 1:3034 E MAIN RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-4205
Practice Address - Country:US
Practice Address - Phone:401-683-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist