Provider Demographics
NPI:1093842502
Name:RASHID, JOSEPH GEORGE (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:GEORGE
Last Name:RASHID
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 1:2404 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-3933
Mailing Address - Country:US
Mailing Address - Phone:319-372-2300
Mailing Address - Fax:
Practice Address - Street 1:2404 AVENUE L
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-3933
Practice Address - Country:US
Practice Address - Phone:319-372-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist