Provider Demographics
NPI:1770811796
Name:NEELY, JOSEPH FRANKLIN (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANKLIN
Last Name:NEELY
Suffix:
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 1:1357 E COURT ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5130
Mailing Address - Country:US
Mailing Address - Phone:830-372-3360
Mailing Address - Fax:830-372-2872
Practice Address - Street 1:1357 E COURT ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5130
Practice Address - Country:US
Practice Address - Phone:830-372-3360
Practice Address - Fax:830-372-2872
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist