Provider Demographics
NPI:1932329224
Name:AUKES, JOEL DAVID (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:DAVID
Last Name:AUKES
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 1:4333 15TH AVE S APT 236
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3356
Mailing Address - Country:US
Mailing Address - Phone:701-241-4145
Mailing Address - Fax:701-241-6641
Practice Address - Street 1:1720 UNIVERSITY DR S
Practice Address - Street 2:TRIUMPH HOSPITAL PHARMACY
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-241-4145
Practice Address - Fax:701-241-6641
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4946OtherPHARMACIST LICENSE NO.