Provider Demographics
NPI:1467930438
Name:SPENCER, JOSHUA ALLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALLEN
Last Name:SPENCER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2795 PINEY RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:VALE
Mailing Address - State:NC
Mailing Address - Zip Code:28168-8971
Mailing Address - Country:US
Mailing Address - Phone:828-461-8103
Mailing Address - Fax:
Practice Address - Street 1:120 CARBON CITY RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4226
Practice Address - Country:US
Practice Address - Phone:828-437-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist