Provider Demographics
NPI:1043329097
Name:WILLIAMS, JULIE JEAN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:JEAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4257 HICKORY RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7464
Mailing Address - Country:US
Mailing Address - Phone:317-274-8283
Mailing Address - Fax:317-278-0792
Practice Address - Street 1:702 BARNHILL DR
Practice Address - Street 2:ROC 1201
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5128
Practice Address - Country:US
Practice Address - Phone:317-274-8283
Practice Address - Fax:317-278-0792
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26016757A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist