Provider Demographics
NPI:1720329238
Name:TAYLOR, JOSHUA JAMES (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JAMES
Last Name:TAYLOR
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 1:919 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4504
Mailing Address - Country:US
Mailing Address - Phone:920-684-6789
Mailing Address - Fax:920-684-7041
Practice Address - Street 1:919 S 8TH ST
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-4504
Practice Address - Country:US
Practice Address - Phone:920-684-6789
Practice Address - Fax:920-684-7041
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20783-40183500000X
KS1-15376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist