Healthcare Provider Details

I. General information

NPI: 1760435010
Provider Name (Legal Business Name): JOEL TRENT GILES PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 W PARK DR
GRAND JUNCTION CO
81505-1450
US

IV. Provider business mailing address

726 MALACHI ST
GRAND JUNCTION CO
81507-8775
US

V. Phone/Fax

Practice location:
  • Phone: 970-208-1252
  • Fax:
Mailing address:
  • Phone: 303-589-8123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16257
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: