Provider Demographics
NPI:1285926147
Name:GRANT-CHIN, JOAN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:
Last Name:GRANT-CHIN
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 1:2621 POND GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8736
Mailing Address - Country:US
Mailing Address - Phone:919-917-8545
Mailing Address - Fax:
Practice Address - Street 1:806 E ASH ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-3804
Practice Address - Country:US
Practice Address - Phone:919-734-3121
Practice Address - Fax:919-734-5649
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist