Provider Demographics
NPI:1962748012
Name:COONCE, JOSHUA DONALD SCOTT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DONALD SCOTT
Last Name:COONCE
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Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:1000 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3135
Mailing Address - Country:US
Mailing Address - Phone:843-856-3007
Mailing Address - Fax:843-856-3014
Practice Address - Street 1:1000 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3135
Practice Address - Country:US
Practice Address - Phone:843-856-3007
Practice Address - Fax:843-856-3014
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC012282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist