Provider Demographics
NPI:1093739898
Name:RALSTON, JOSEPH P JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:RALSTON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 KINGSLEY CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2408
Mailing Address - Country:US
Mailing Address - Phone:215-504-7207
Mailing Address - Fax:215-632-6107
Practice Address - Street 1:10101 ACADEMY RD STE 105
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1120
Practice Address - Country:US
Practice Address - Phone:215-632-2121
Practice Address - Fax:215-632-6107
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043239L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist