Provider Demographics
NPI:1518013416
Name:HINTON, JOSEPH HOUSTON II (RPH)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HOUSTON
Last Name:HINTON
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 S 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAFFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85546-3423
Mailing Address - Country:US
Mailing Address - Phone:928-428-4788
Mailing Address - Fax:
Practice Address - Street 1:924 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-3423
Practice Address - Country:US
Practice Address - Phone:928-428-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS12420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZS12420OtherPHARMACY LICENSE