Provider Demographics
NPI:1073100434
Name:ATKINS, JULIA ROSE (PHARMD RPH)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ROSE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6789 E GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1640
Mailing Address - Country:US
Mailing Address - Phone:315-857-6610
Mailing Address - Fax:
Practice Address - Street 1:6789 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066-1640
Practice Address - Country:US
Practice Address - Phone:315-446-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist