Healthcare Provider Details

I. General information

NPI: 1700792140
Provider Name (Legal Business Name): LORAH MARIE JOINER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5355 HUNTER RD
BOONVILLE IN
47601-8405
US

IV. Provider business mailing address

5355 HUNTER RD
BOONVILLE IN
47601-8405
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-6338
  • Fax: 812-858-6443
Mailing address:
  • Phone: 812-450-6338
  • Fax: 812-858-6443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26022519A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: