Provider Demographics
NPI:1245570787
Name:MCAULIFFE, JOSEPH F
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:MCAULIFFE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6722 STATE ROUTE 132
Mailing Address - Street 2:P.O. BOX 268
Mailing Address - City:GOSHEN
Mailing Address - State:OH
Mailing Address - Zip Code:45122-9249
Mailing Address - Country:US
Mailing Address - Phone:513-722-3784
Mailing Address - Fax:513-722-3786
Practice Address - Street 1:6722 STATE ROUTE 132
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:OH
Practice Address - Zip Code:45122-9249
Practice Address - Country:US
Practice Address - Phone:513-722-3784
Practice Address - Fax:513-722-3786
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-14651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist