Healthcare Provider Details

I. General information

NPI: 1851908115
Provider Name (Legal Business Name): JOSHUA HARMON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 WASHINGTON BLVD
BELPRE OH
45714-2363
US

IV. Provider business mailing address

1013 WASHINGTON BLVD
BELPRE OH
45714-2363
US

V. Phone/Fax

Practice location:
  • Phone: 740-401-1035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0011663
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: