Amanda Julian
Individual provider Active NPI Pharmacist · Wellsburg, WV
NPI 1114218310 · NPPES record last updated Apr 22, 2011
Key facts
- NPI
- 1114218310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0007290 (WV)
- Practice address
- 126 12TH St
Wellsburg, WV 26070-1572 - Phone
- (304) 737-0205
- NPI assigned
- Apr 22, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007290 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0007290 | WV | Yes |
Addresses
Primary practice location
126 12TH St
Wellsburg, WV 26070-1572
Mailing address
126 12TH St
Wellsburg, WV 26070-1572
Other providers in Wellsburg, WV
- Hood'S Pharmacy Inc
- John a. Brem, DPM
- Carillon Jones
- Faith Jordan
- Joseph J Depetro III MD Professional Corporation
- Mark Gregory Karnoupakis
- Kimberly S Castellucci OD PLLC
- Donald Kosek
- Jason Michael Kusic
- Lisa Lancaster
All providers in Wellsburg, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.