Healthcare Provider Details

I. General information

NPI: 1073635256
Provider Name (Legal Business Name): DIANA ELIZABETH JOYNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 EVANS ST
WILLIAMSVILLE NY
14221-5670
US

IV. Provider business mailing address

55 CROWN ROYAL DR
WILLIAMSVILLE NY
14221-2763
US

V. Phone/Fax

Practice location:
  • Phone: 716-632-1940
  • Fax: 716-631-9114
Mailing address:
  • Phone: 716-639-8018
  • Fax: 716-631-9114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number048163
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: