Basic Information
Provider Information
NPI: 1154515682
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOYED
FirstName: JOYCE
MiddleName: V.
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD, CACP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1970 ROANOKE BLVD
Address2:  
City: SALEM
State: VA
PostalCode: 241536404
CountryCode: US
TelephoneNumber: 5409822463
FaxNumber: 5408553478
Practice Location
Address1: 1970 ROANOKE BLVD
Address2:  
City: SALEM
State: VA
PostalCode: 241536404
CountryCode: US
TelephoneNumber: 5409822463
FaxNumber: 5408553478
Other Information
ProviderEnumerationDate: 08/28/2007
LastUpdateDate: 08/28/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X14312ALN Pharmacy Service ProvidersPharmacist 
183500000X010314SCY Pharmacy Service ProvidersPharmacist 
183500000XPS 34839FLN Pharmacy Service ProvidersPharmacist 

No ID Information.


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