Provider Demographics
NPI:1033425582
Name:WARD, JOSEPH JUTSON (RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JUTSON
Last Name:WARD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 RODNEY ORR BYP
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28771-8420
Mailing Address - Country:US
Mailing Address - Phone:828-479-8791
Mailing Address - Fax:828-479-2883
Practice Address - Street 1:219 RODNEY ORR BYP
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28771-8420
Practice Address - Country:US
Practice Address - Phone:828-479-8791
Practice Address - Fax:828-479-2883
Is Sole Proprietor?:No
Enumeration Date:2010-08-22
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist