Provider Demographics
NPI:1174811152
Name:BAYER, JOSHUA BRIAN (PHARMD, BCPS, AAHIVP)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:BRIAN
Last Name:BAYER
Suffix:
Gender:M
Credentials:PHARMD, BCPS, AAHIVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53295-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4000 STATE ROAD 16
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-1809
Practice Address - Country:US
Practice Address - Phone:608-784-3886
Practice Address - Fax:608-372-1106
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.00184561835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy