Provider Demographics
NPI:1881907293
Name:KROLL, JOSEPH DONALD JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DONALD
Last Name:KROLL
Suffix:JR
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 1:812 TUPELO BAY DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8241
Mailing Address - Country:US
Mailing Address - Phone:843-654-9591
Mailing Address - Fax:
Practice Address - Street 1:320 E BAY ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1681
Practice Address - Country:US
Practice Address - Phone:843-937-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20501183500000X
SC13991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist