Provider Demographics
NPI:1386245520
Name:NAUMAN, JOEL MICHAEL I (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:MICHAEL
Last Name:NAUMAN
Suffix:I
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:52767-0025
Mailing Address - Country:US
Mailing Address - Phone:563-528-2239
Mailing Address - Fax:
Practice Address - Street 1:3887 ELMORE AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2504
Practice Address - Country:US
Practice Address - Phone:563-344-4234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist