Provider Demographics
NPI:1700253838
Name:TEITZ, JOSEPH NOEL (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:NOEL
Last Name:TEITZ
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6828 REISTERSTOWN RD
Mailing Address - Street 2:CVS PHARMACY 4107
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1428
Mailing Address - Country:US
Mailing Address - Phone:410-764-3445
Mailing Address - Fax:
Practice Address - Street 1:6828 REISTERSTOWN RD
Practice Address - Street 2:CVS PHARMACY 4107
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-1428
Practice Address - Country:US
Practice Address - Phone:410-764-3445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist