Provider Demographics
NPI:1811299084
Name:MAYE, JOSHUA CHARLES SR (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHARLES
Last Name:MAYE
Suffix:SR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:BRADFORD TOWN CENTER RR6
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848
Mailing Address - Country:US
Mailing Address - Phone:570-265-8263
Mailing Address - Fax:570-268-2948
Practice Address - Street 1:BRADFORD TOWN CENTER RR6
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:PA
Practice Address - Zip Code:18848
Practice Address - Country:US
Practice Address - Phone:570-265-8263
Practice Address - Fax:570-268-2948
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4422807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist