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NPI Code Detail

MEDICARE: DR. JOSHUA J RUST PHARMD

MEDICARE:  DR. JOSHUA J RUST  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
1183500000XPharmacistPD11957AR

General Provider Information

NPI Number : 1558787945
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA J RUST PHARMD
Provider Business Mailing Address
First Line : 4001 PHOENIX AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6099
Country : US
Telephone Number : 479-709-8941
Fax Number : 479-709-8951
Provider Business Practice Location Address
First Line : 4001 PHOENIX AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6099
Country : US
Telephone Number : 479-709-8941
Fax Number : 479-709-8951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2014
Last Update Date : 03/10/2014

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Directions to “ DR. JOSHUA J RUST PHARMD” Practice Location

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