Provider Demographics
NPI:1295098697
Name:SAYLOR, JOSEPH RICE III (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:RICE
Last Name:SAYLOR
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5288 NEW PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:HAZEL
Mailing Address - State:KY
Mailing Address - Zip Code:42049-8631
Mailing Address - Country:US
Mailing Address - Phone:270-227-5360
Mailing Address - Fax:
Practice Address - Street 1:5288 NEW PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:HAZEL
Practice Address - State:KY
Practice Address - Zip Code:42049-8631
Practice Address - Country:US
Practice Address - Phone:270-227-5360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31969183500000X
KY012267183500000X
ARPD09819183500000X
MI5302034635183500000X
TN0000012318183500000X
VA0202209187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist