Provider Demographics
NPI:1386603017
Name:WOELFEL, JOSEPH ALEXANDER (PHD, FASCP, RPH)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALEXANDER
Last Name:WOELFEL
Suffix:
Gender:M
Credentials:PHD, FASCP, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S ROSE ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-3920
Mailing Address - Country:US
Mailing Address - Phone:209-986-7555
Mailing Address - Fax:209-946-3192
Practice Address - Street 1:700 S ROSE ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-3920
Practice Address - Country:US
Practice Address - Phone:209-986-7555
Practice Address - Fax:209-946-3192
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 268421835P1200X
NV055601835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy