Provider Demographics
NPI:1023355187
Name:BELL, JOSEPH SHANE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SHANE
Last Name:BELL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 ROSS CLARK CIR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-5439
Mailing Address - Country:US
Mailing Address - Phone:334-673-1208
Mailing Address - Fax:334-673-1215
Practice Address - Street 1:1620 ROSS CLARK CIR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-5439
Practice Address - Country:US
Practice Address - Phone:334-673-1208
Practice Address - Fax:334-673-1215
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16593183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist