Provider Demographics
NPI:1942599410
Name:HARTZLER, JOAN CHRISTINE (RPH)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:CHRISTINE
Last Name:HARTZLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 CHURCHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2703
Mailing Address - Country:US
Mailing Address - Phone:540-885-0386
Mailing Address - Fax:540-886-0924
Practice Address - Street 1:1310 CHURCHVILLE AVE
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2703
Practice Address - Country:US
Practice Address - Phone:540-885-0386
Practice Address - Fax:540-886-0924
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist