Healthcare Provider Details

I. General information

NPI: 1497039408
Provider Name (Legal Business Name): JOSHUA CHRISTOPHER TOENGES PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 11/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 PALMER HWY
TEXAS CITY TX
77590-6721
US

IV. Provider business mailing address

555 FM 646 RD W APT #613
DICKINSON TX
77539-3473
US

V. Phone/Fax

Practice location:
  • Phone: 409-945-0702
  • Fax:
Mailing address:
  • Phone: 630-392-1908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48751
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: