Provider Demographics
NPI:1366797458
Name:JUREK, JEFFREY MICHEAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MICHEAL
Last Name:JUREK
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 1:2850 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2183
Mailing Address - Country:US
Mailing Address - Phone:336-434-3149
Mailing Address - Fax:336-434-5378
Practice Address - Street 1:2850 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27263-2183
Practice Address - Country:US
Practice Address - Phone:336-434-3149
Practice Address - Fax:336-434-5378
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist