Provider Demographics
NPI:1619360153
Name:MEEKS, JOSHUA JACOB (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JACOB
Last Name:MEEKS
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 1:922 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-3616
Mailing Address - Country:US
Mailing Address - Phone:864-682-8104
Mailing Address - Fax:
Practice Address - Street 1:922 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-3616
Practice Address - Country:US
Practice Address - Phone:864-682-8104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist