Provider Demographics
NPI:1225422603
Name:ENGLE, JOEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:ENGLE
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 1:2305 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-5422
Mailing Address - Country:US
Mailing Address - Phone:866-744-0621
Mailing Address - Fax:888-868-8660
Practice Address - Street 1:2305 E 54TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-5422
Practice Address - Country:US
Practice Address - Phone:866-744-0621
Practice Address - Fax:888-868-8660
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6108183500000X
SD017629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6108OtherSOUTH DAKOTA BOARD OF PHARMACY
KY017629OtherKENTUCKY BOARD OF PHARMACY