MEDICARE: DR. TARA JOYNER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PD11089	AR

General Provider Information

NPI Number	:	1316229123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARA JOYNER PHARM.D.

Provider Business Mailing Address
First Line	:	8300 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5235
Country	:	US
Telephone Number	:	479-452-3330
Fax Number	:	479-452-3879

Provider Business Practice Location Address
First Line	:	8300 ROGERS AVENUE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-4085
Country	:	US
Telephone Number	:	479-452-3330
Fax Number	:	479-452-3879

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	10/15/2011

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