Provider Demographics
NPI:1386951788
Name:WELCH, JOSEPH MICHAEL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:WELCH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 TRIANGLE SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-4651
Mailing Address - Country:US
Mailing Address - Phone:360-423-4833
Mailing Address - Fax:360-636-0901
Practice Address - Street 1:364 TRIANGLE SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4651
Practice Address - Country:US
Practice Address - Phone:360-423-4833
Practice Address - Fax:360-636-0901
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPHOOO61801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist