Provider Demographics
NPI:1962793836
Name:MCELDOWNEY, JOELLEN (PHARMD)
Entity type:Individual
Prefix:
First Name:JOELLEN
Middle Name:
Last Name:MCELDOWNEY
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 1:267 MICAHS WAY
Mailing Address - Street 2:
Mailing Address - City:MORAVIAN FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28654-8820
Mailing Address - Country:US
Mailing Address - Phone:336-921-2232
Mailing Address - Fax:
Practice Address - Street 1:2147 BLOWING ROCK RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6155
Practice Address - Country:US
Practice Address - Phone:828-262-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist