Provider Demographics
NPI:1396945580
Name:JOSEPH, TEGI (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TEGI
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
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 1:1810 E MONUMENT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2107
Mailing Address - Country:US
Mailing Address - Phone:410-502-6675
Mailing Address - Fax:410-502-5734
Practice Address - Street 1:1810 E MONUMENT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2107
Practice Address - Country:US
Practice Address - Phone:410-502-6675
Practice Address - Fax:410-502-5734
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17594183500000X
VA0202206830183500000X
NJ28RI02895700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist