Provider Demographics
NPI:1093986259
Name:GEORGE, JULIE SEARFOSS (PHARMD,BCPS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SEARFOSS
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PHARMD,BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 WEST WOODROW WILSON BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39213
Mailing Address - Country:US
Mailing Address - Phone:601-815-1420
Mailing Address - Fax:601-815-5951
Practice Address - Street 1:350 WEST WOODROW WILSON BOULEVARD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213
Practice Address - Country:US
Practice Address - Phone:601-815-1420
Practice Address - Fax:601-815-5951
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-093391835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy