Provider Demographics
NPI:1497431530
Name:WORTHINGTON, JOE LEWIS JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:LEWIS
Last Name:WORTHINGTON
Suffix:JR
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 1:578 NEW LEICESTER HWY
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2123
Mailing Address - Country:US
Mailing Address - Phone:828-771-0512
Mailing Address - Fax:
Practice Address - Street 1:578 NEW LEICESTER HWY
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2123
Practice Address - Country:US
Practice Address - Phone:828-771-0512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist