Basic Information
Provider Information
NPI: 1225135395
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CREE
FirstName: JOSHUA
MiddleName: NATHAN
NamePrefix: DR.
NameSuffix:  
Credential: PHARM. D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 COVENTRY WOODS DR
Address2:  
City: ARDEN
State: NC
PostalCode: 287049583
CountryCode: US
TelephoneNumber: 8282987911
FaxNumber:  
Practice Location
Address1: 1100 TUNNEL RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288052043
CountryCode: US
TelephoneNumber: 8282987911
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X10838TNN Pharmacy Service ProvidersPharmacist 
183500000X15659NCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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