Provider Demographics
NPI:1316109382
Name:BEN-AMOZ, JOSHUA MEIR (RPH, CN)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MEIR
Last Name:BEN-AMOZ
Suffix:
Gender:M
Credentials:RPH, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 RAYMOND AVE NW APT B
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-7116
Mailing Address - Country:US
Mailing Address - Phone:330-240-8373
Mailing Address - Fax:
Practice Address - Street 1:10764 NORTH ST
Practice Address - Street 2:
Practice Address - City:GARRETTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44231-1016
Practice Address - Country:US
Practice Address - Phone:330-527-2828
Practice Address - Fax:330-527-2738
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38312183500000X
OH03129939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist