Provider Demographics
NPI:1386174035
Name:WEBER, JOSHUA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:WEBER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 S ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4204
Mailing Address - Country:US
Mailing Address - Phone:814-233-7885
Mailing Address - Fax:
Practice Address - Street 1:183 N READING RD
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1647
Practice Address - Country:US
Practice Address - Phone:717-721-5784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI009614183500000X
PARP449481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist