Provider Demographics
NPI:1861218257
Name:BLOOD, JOSHUA WARREN (PHARMD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WARREN
Last Name:BLOOD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-1381
Mailing Address - Country:US
Mailing Address - Phone:402-806-2112
Mailing Address - Fax:
Practice Address - Street 1:906 E 6TH ST
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-1381
Practice Address - Country:US
Practice Address - Phone:402-806-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist