Provider Demographics
NPI:1114514031
Name:POWERS, JULIETTE (RPH)
Entity Type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:POWERS
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 1:981 SUMMER PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-2059
Mailing Address - Country:US
Mailing Address - Phone:202-390-3001
Mailing Address - Fax:
Practice Address - Street 1:981 SUMMER PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-2059
Practice Address - Country:US
Practice Address - Phone:202-390-3001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-26
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA445448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty