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NPI Code Detail

MEDICARE: DR. JOSHUA THOMAS TITUS PHARM.D.

MEDICARE: DR. JOSHUA THOMAS TITUS PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistIL

General Provider Information

NPI Number : 1346221744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA THOMAS TITUS PHARM.D.
Provider Business Mailing Address
First Line : 3232 N HALSTED ST
Second Line : UNIT D1009
City : CHICAGO
State : IL
Zip : 60657-3570
Country : US
Telephone Number : 773-494-9997
Fax Number :
Provider Business Practice Location Address
First Line : 4025 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2010
Country : US
Telephone Number : 773-528-8314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 07/08/2007

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