Provider Demographics
NPI:1558616722
Name:DYCHES, JOSEPH TIMOTHY SR (RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:TIMOTHY
Last Name:DYCHES
Suffix:SR
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:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:HARDEEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29927-0623
Mailing Address - Country:US
Mailing Address - Phone:843-784-6222
Mailing Address - Fax:843-784-6223
Practice Address - Street 1:21361 WHYTE HARDEE BLVD
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-6346
Practice Address - Country:US
Practice Address - Phone:843-784-6222
Practice Address - Fax:843-784-6223
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist