Provider Demographics
NPI:1497039408
Name:TOENGES, JOSHUA CHRISTOPHER (PHARM D)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CHRISTOPHER
Last Name:TOENGES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 FM 646 RD W
Mailing Address - Street 2:APT #613
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-3473
Mailing Address - Country:US
Mailing Address - Phone:630-392-1908
Mailing Address - Fax:
Practice Address - Street 1:3103 PALMER HWY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-6721
Practice Address - Country:US
Practice Address - Phone:409-945-0702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist