Provider Demographics
NPI:1831723915
Name:SNOREK, JOEL (PHARMD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:SNOREK
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 1:864 GRASS LEAF TRL
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:WI
Mailing Address - Zip Code:53066-8655
Mailing Address - Country:US
Mailing Address - Phone:262-337-1402
Mailing Address - Fax:
Practice Address - Street 1:275 DAVISON DR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-2034
Practice Address - Country:US
Practice Address - Phone:262-837-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17231-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist