Provider Demographics
NPI:1124536735
Name:BERRY, JULIA JANE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:JANE
Last Name:BERRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:JANE
Other - Last Name:THURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:824 MCINTOSH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-3100
Mailing Address - Country:US
Mailing Address - Phone:904-382-0425
Mailing Address - Fax:
Practice Address - Street 1:9900 ALTERNATE A1A
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4903
Practice Address - Country:US
Practice Address - Phone:561-624-1183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist