Provider Demographics
NPI:1801133665
Name:CHAMBERLAIN, JOSEPH WILLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:CHAMBERLAIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 OHIO AVE S
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-4514
Mailing Address - Country:US
Mailing Address - Phone:386-362-2591
Mailing Address - Fax:386-208-1588
Practice Address - Street 1:1520 OHIO AVE S
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-3396
Practice Address - Country:US
Practice Address - Phone:386-362-2591
Practice Address - Fax:386-208-1588
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist