Healthcare Provider Details

I. General information

NPI: 1013887017
Provider Name (Legal Business Name): JOYITA CHAUDHURI GLOVER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 SR 96 SUITE 1800
WARNER ROBINS GA
31088
US

IV. Provider business mailing address

101 STABLEGATE LN
BONAIRE GA
31005-4810
US

V. Phone/Fax

Practice location:
  • Phone: 478-287-2169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21132
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035996
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: