Healthcare Provider Details

I. General information

NPI: 1861239675
Provider Name (Legal Business Name): JOSHUA CAMPBELL PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W MARKET ST
ATHENS AL
35611-2555
US

IV. Provider business mailing address

200 W MARKET ST
ATHENS AL
35611-2555
US

V. Phone/Fax

Practice location:
  • Phone: 256-232-3811
  • Fax: 256-232-2422
Mailing address:
  • Phone: 256-232-3811
  • Fax: 256-232-2422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16444
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: