MEDICARE: JOSHUA D VINSON PHARMD

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
1	183500000X	Pharmacist	47501	TX

General Provider Information

NPI Number	:	1528397486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA D VINSON PHARMD

Provider Business Mailing Address
First Line	:	11658 N INTERSTATE 35
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-5305
Country	:	US
Telephone Number	:	210-599-0398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 S AUSTRALIAN AVE STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6447
Country	:	US
Telephone Number	:	561-934-5811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2009
Last Update Date	:	01/21/2025

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