Provider Demographics
NPI:1700561107
Name:CARAWAY, JOEL RILEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:RILEY
Last Name:CARAWAY
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 1:1610 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7301
Mailing Address - Country:US
Mailing Address - Phone:870-793-4770
Mailing Address - Fax:
Practice Address - Street 1:1610 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7301
Practice Address - Country:US
Practice Address - Phone:870-793-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD16582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist