Joshua Dozak, PHARMD
Individual provider Active NPI Pharmacist · Wheaton, MN
NPI 1497345896 · NPPES record last updated Jan 20, 2021
Key facts
- NPI
- 1497345896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 118594 (MN)
- Practice address
- 1105 Broadway
Wheaton, MN 56296-1307 - Phone
- (320) 563-4151
- Fax
- (320) 563-4577
- NPI assigned
- Jan 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118594 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dozak Drug LLC | Current |
Accepting new patients | |
| Wheaton Drug Comapny | Past |
Accepting new patients |
Locations
1105 Broadway
Wheaton, MN 56296
Phone (320) 563-4151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 118594 | MN | Yes |
Addresses
Primary practice location
1105 Broadway
Wheaton, MN 56296-1307
Mailing address
1105 Broadway
Wheaton, MN 56296-1307
Phone (320) 563-4151
Other providers in Wheaton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.