Provider Demographics
NPI:1700184546
Name:PRICE, JOSEPH STERLING
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:STERLING
Last Name:PRICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 OLD HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-2431
Mailing Address - Country:US
Mailing Address - Phone:770-853-9081
Mailing Address - Fax:
Practice Address - Street 1:5329 OLD HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-2431
Practice Address - Country:US
Practice Address - Phone:770-853-9081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA183500000XOtherPHARMACIST