Provider Demographics
NPI:1497058028
Name:EDWARDS, JOSEPH ALBERT JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALBERT
Last Name:EDWARDS
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4111 NEW BERN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1372
Mailing Address - Country:US
Mailing Address - Phone:919-250-9987
Mailing Address - Fax:919-250-9775
Practice Address - Street 1:4111 NEW BERN AVE STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1372
Practice Address - Country:US
Practice Address - Phone:919-250-9987
Practice Address - Fax:919-250-9775
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5523183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist