Provider Demographics
NPI:1497356711
Name:CUMMINS, JOSHUA CRAIG (PHARM D)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CRAIG
Last Name:CUMMINS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 FOUR WINDS DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-7784
Mailing Address - Country:US
Mailing Address - Phone:501-472-9093
Mailing Address - Fax:
Practice Address - Street 1:1172 HIGHWAY 7 NORTH
Practice Address - Street 2:
Practice Address - City:DARDANELLE
Practice Address - State:AR
Practice Address - Zip Code:72834
Practice Address - Country:US
Practice Address - Phone:479-229-2157
Practice Address - Fax:472-229-1648
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty