Provider Demographics
NPI:1891121703
Name:MOLES, JOSHUA B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:B
Last Name:MOLES
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 1:229 CHANEY MILL WAY
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1194
Mailing Address - Country:US
Mailing Address - Phone:614-288-7055
Mailing Address - Fax:
Practice Address - Street 1:229 CHANEY MILL WAY
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1194
Practice Address - Country:US
Practice Address - Phone:614-288-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3048183500000X
OH03228299183500000X
PARP443809183500000X
AZS020813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist