Provider Demographics
NPI:1467795674
Name:HURST, NEAL C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:C
Last Name:HURST
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 1:508 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-3307
Mailing Address - Country:US
Mailing Address - Phone:970-565-6466
Mailing Address - Fax:970-565-2152
Practice Address - Street 1:508 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-3307
Practice Address - Country:US
Practice Address - Phone:970-565-6466
Practice Address - Fax:970-565-2152
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist