Provider Demographics
NPI:1376691006
Name:NEWTON, JOE D (REGISTER PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:D
Last Name:NEWTON
Suffix:
Gender:M
Credentials:REGISTER PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:ISLE OF PALMS
Mailing Address - State:SC
Mailing Address - Zip Code:29451-2519
Mailing Address - Country:US
Mailing Address - Phone:843-886-8470
Mailing Address - Fax:843-876-0263
Practice Address - Street 1:253 FOREST TRL
Practice Address - Street 2:
Practice Address - City:ISLE OF PALMS
Practice Address - State:SC
Practice Address - Zip Code:29451-2519
Practice Address - Country:US
Practice Address - Phone:843-886-8470
Practice Address - Fax:843-876-0263
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy