Provider Demographics
NPI:1285174987
Name:NETANEL-SUREK, JOSEPH BENJAMIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BENJAMIN
Last Name:NETANEL-SUREK
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 1:321 MCFARLAND CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-2043
Mailing Address - Country:US
Mailing Address - Phone:720-289-4345
Mailing Address - Fax:
Practice Address - Street 1:1320 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-3326
Practice Address - Country:US
Practice Address - Phone:970-625-9420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.00210751835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy