Provider Demographics
NPI:1508354796
Name:WOEHL, JOE JOHN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:JOHN
Last Name:WOEHL
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 1:209 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-2311
Mailing Address - Country:US
Mailing Address - Phone:785-392-7696
Mailing Address - Fax:785-392-2487
Practice Address - Street 1:209 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:KS
Practice Address - Zip Code:67467-2311
Practice Address - Country:US
Practice Address - Phone:785-392-7696
Practice Address - Fax:785-392-2487
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist