Provider Demographics
NPI:1093071334
Name:JOSEPH, FINNY (RPH)
Entity Type:Individual
Prefix:
First Name:FINNY
Middle Name:
Last Name:JOSEPH
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 1:2100 NEW BERN AVE
Mailing Address - Street 2:JOSEFS PHARMACY
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2431
Mailing Address - Country:US
Mailing Address - Phone:919-212-2555
Mailing Address - Fax:919-212-2550
Practice Address - Street 1:2100 NEW BERN AVE
Practice Address - Street 2:JOSEFS PHARMACY
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2431
Practice Address - Country:US
Practice Address - Phone:919-212-2555
Practice Address - Fax:919-212-2550
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC17137OtherPHARMACIST LICENCE