Provider Demographics
NPI:1306053657
Name:DALY, JOANNE LAURA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:LAURA
Last Name:DALY
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 1:19 HIGHRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1869
Mailing Address - Country:US
Mailing Address - Phone:508-359-6855
Mailing Address - Fax:508-359-7519
Practice Address - Street 1:19 HIGHRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1869
Practice Address - Country:US
Practice Address - Phone:508-359-6855
Practice Address - Fax:508-359-7519
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist