Provider Demographics
NPI:1558782060
Name:JURASKA, NEAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:JURASKA
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 1:177 ERIE BLVD
Mailing Address - Street 2:REDDON'S DRUGS
Mailing Address - City:SUSQUEHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18847-2791
Mailing Address - Country:US
Mailing Address - Phone:570-853-3159
Mailing Address - Fax:570-853-3892
Practice Address - Street 1:36 ROSE ST
Practice Address - Street 2:HALLSTEAD FAMILY PHARMACY
Practice Address - City:HALLSTEAD
Practice Address - State:PA
Practice Address - Zip Code:18822
Practice Address - Country:US
Practice Address - Phone:570-879-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist