Provider Demographics
NPI:1346428869
Name:BILL, JOSEPH D (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:D
Last Name:BILL
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 1:2231 DOWNER STREET
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027
Mailing Address - Country:US
Mailing Address - Phone:315-638-3601
Mailing Address - Fax:315-638-3607
Practice Address - Street 1:2231 DOWNER STREET
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027
Practice Address - Country:US
Practice Address - Phone:315-638-3601
Practice Address - Fax:315-638-3607
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist