Provider Demographics
NPI:1801484753
Name:MCFADDEN, JOSEPH DENNIS (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DENNIS
Last Name:MCFADDEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 OLD EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3462
Mailing Address - Country:US
Mailing Address - Phone:740-772-5180
Mailing Address - Fax:740-772-5483
Practice Address - Street 1:215 OLD EASTERN AVE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3462
Practice Address - Country:US
Practice Address - Phone:740-772-5180
Practice Address - Fax:740-772-5483
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03219371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist