Provider Demographics
NPI:1003311424
Name:SANDERS, JOSHUA CODY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CODY
Last Name:SANDERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 REDDING RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-4123
Mailing Address - Country:US
Mailing Address - Phone:731-607-4910
Mailing Address - Fax:
Practice Address - Street 1:3828 REDDING RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-4123
Practice Address - Country:US
Practice Address - Phone:731-607-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist