Provider Demographics
NPI:1851922165
Name:MACLEOD, THORAYA JOY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THORAYA
Middle Name:JOY
Last Name:MACLEOD
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 1:3090 CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9611
Mailing Address - Country:US
Mailing Address - Phone:734-973-7402
Mailing Address - Fax:734-973-7537
Practice Address - Street 1:3090 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9611
Practice Address - Country:US
Practice Address - Phone:734-973-7402
Practice Address - Fax:734-973-7537
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist