Individual provider · Type 1 NPI

Joanna Doyle Pettus, PharmD

Pharmacist · Lake City, FL

NPI number 1255581302 Active

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Call (386) 755-3016 Map

Mailing address

4302 SW 21st Ln
Gainesville, FL 32607-3815

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS 42383 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1255581302

Joanna Doyle Pettus, PharmD's National Provider Identifier is 1255581302, issued on Sep 25, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake City, FL. The record was last updated on Sep 25, 2008.