Provider Demographics
NPI:1598190001
Name:BERKEY, REX EUGENE (RPH)
Entity Type:Individual
Prefix:
First Name:REX
Middle Name:EUGENE
Last Name:BERKEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9983 WADSWORTH PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4249
Mailing Address - Country:US
Mailing Address - Phone:303-424-7346
Mailing Address - Fax:303-467-5658
Practice Address - Street 1:9983 WADSWORTH PKWY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4249
Practice Address - Country:US
Practice Address - Phone:303-424-7346
Practice Address - Fax:303-467-5658
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist