Provider Demographics
NPI:1144381393
Name:WOLF, JULIA (RPH)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:WOLF
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 1:6912 MAPLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-2737
Mailing Address - Country:US
Mailing Address - Phone:972-202-0611
Mailing Address - Fax:
Practice Address - Street 1:7164 TECHNOLOGY DR STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2095
Practice Address - Country:US
Practice Address - Phone:214-387-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist