Provider Demographics
NPI:1982803193
Name:MCCLENDON, JOSEPH FRANK (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANK
Last Name:MCCLENDON
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 1:1308 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-2401
Mailing Address - Country:US
Mailing Address - Phone:800-662-2735
Mailing Address - Fax:304-525-6591
Practice Address - Street 1:1308 4TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2401
Practice Address - Country:US
Practice Address - Phone:800-662-2735
Practice Address - Fax:304-525-6591
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0003410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist