Provider Demographics
NPI:1114328739
Name:JOSEFS PHARMACY LLC
Entity type:Organization
Organization Name:JOSEFS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-680-1540
Mailing Address - Street 1:2100 NEW BERN AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2431
Mailing Address - Country:US
Mailing Address - Phone:919-680-1540
Mailing Address - Fax:919-680-1541
Practice Address - Street 1:3421 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3257
Practice Address - Country:US
Practice Address - Phone:919-680-1540
Practice Address - Fax:919-680-1541
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEFS PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-15
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12097332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12097OtherPHARMACY PERMIT