Provider Demographics
NPI:1922436617
Name:GOINS, JOSHUA ANTHONY (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ANTHONY
Last Name:GOINS
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 1:1610 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-2930
Mailing Address - Country:US
Mailing Address - Phone:843-248-0505
Mailing Address - Fax:
Practice Address - Street 1:1610 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-2930
Practice Address - Country:US
Practice Address - Phone:843-248-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14159183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist