Provider Demographics
NPI:1194945915
Name:KNAUER, JOSHUA JOHN (RPH)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JOHN
Last Name:KNAUER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-4800
Mailing Address - Country:US
Mailing Address - Phone:410-848-5980
Mailing Address - Fax:
Practice Address - Street 1:99 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4800
Practice Address - Country:US
Practice Address - Phone:410-848-5980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist