Healthcare Provider Details

I. General information

NPI: 1326825167
Provider Name (Legal Business Name): JOCLYN CARRIE DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3498 N 5TH STREET HWY
READING PA
19605-2429
US

IV. Provider business mailing address

1247 E 6TH ST
BETHLEHEM PA
18015-2107
US

V. Phone/Fax

Practice location:
  • Phone: 610-967-5684
  • Fax:
Mailing address:
  • Phone: 570-249-4887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP457960
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: