Provider Demographics
NPI:1386308120
Name:PASQUALE, JOYCE (RPH)
Entity type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:
Last Name:PASQUALE
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 1:130 GREENBAG RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-7155
Mailing Address - Country:US
Mailing Address - Phone:304-292-0385
Mailing Address - Fax:304-292-6081
Practice Address - Street 1:130 GREENBAG RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-7155
Practice Address - Country:US
Practice Address - Phone:304-292-0385
Practice Address - Fax:304-292-6081
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0003921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist