Provider Demographics
NPI:1457757569
Name:WATERS, JOSHUA JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JAMES
Last Name:WATERS
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:PO BOX 1627
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-1627
Mailing Address - Country:US
Mailing Address - Phone:828-322-7717
Mailing Address - Fax:828-322-1114
Practice Address - Street 1:126 1ST AVE S
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-2112
Practice Address - Country:US
Practice Address - Phone:828-464-1354
Practice Address - Fax:828-464-7312
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist