Provider Demographics
NPI:1245515774
Name:JOSSELYN, PATRICIA SLAVIN (RPH)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:SLAVIN
Last Name:JOSSELYN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 YUKON LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-9724
Mailing Address - Country:US
Mailing Address - Phone:919-493-7814
Mailing Address - Fax:
Practice Address - Street 1:3220 SPRING FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2822
Practice Address - Country:US
Practice Address - Phone:800-494-3053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14629183500000X
MA17104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist