Provider Demographics
NPI:1801238191
Name:AUMANN, ANDREW JAMES (PHARM D)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:AUMANN
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 1:2335 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1486
Mailing Address - Country:US
Mailing Address - Phone:501-766-2429
Mailing Address - Fax:
Practice Address - Street 1:2335 W 26TH ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1486
Practice Address - Country:US
Practice Address - Phone:501-766-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-27
Last Update Date:2013-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013026460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist