Healthcare Provider Details

I. General information

NPI: 1306741384
Provider Name (Legal Business Name): ROY JOSEPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S EUCLID AVE
BAY CITY MI
48706-3206
US

IV. Provider business mailing address

416 S EUCLID AVE
BAY CITY MI
48706-3206
US

V. Phone/Fax

Practice location:
  • Phone: 989-671-0468
  • Fax: 989-671-0939
Mailing address:
  • Phone: 989-671-0468
  • Fax: 989-671-0939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302417794
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: