Healthcare Provider Details

I. General information

NPI: 1689431850
Provider Name (Legal Business Name): JOEY LAW PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SAN PABLO AVE STE 280
BERKELEY CA
94702-2498
US

IV. Provider business mailing address

1 QUALITY DR # B4THF
VACAVILLE CA
95688-9494
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-1643
  • Fax:
Mailing address:
  • Phone: 707-624-6763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH53792
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH53792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: