Provider Demographics
NPI:1356636096
Name:NUNES, JOSEPH K (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:K
Last Name:NUNES
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 1:350 ATHOL RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:ROYALSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01368-8946
Mailing Address - Country:US
Mailing Address - Phone:978-249-4000
Mailing Address - Fax:
Practice Address - Street 1:1640 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-2162
Practice Address - Country:US
Practice Address - Phone:978-249-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH15368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist