Provider Demographics
NPI:1609162437
Name:SPADE, JOSHUA P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:P
Last Name:SPADE
Suffix:
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 1:9000 E INDIAN BEND RD
Mailing Address - Street 2:T-0363
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-8502
Mailing Address - Country:US
Mailing Address - Phone:480-951-5633
Mailing Address - Fax:480-951-5633
Practice Address - Street 1:9000 E INDIAN BEND RD
Practice Address - Street 2:T-0363
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-8502
Practice Address - Country:US
Practice Address - Phone:480-951-5633
Practice Address - Fax:480-951-5633
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist