Provider Demographics
NPI:1154650109
Name:ALFORD, JULIE CARMICHAEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CARMICHAEL
Last Name:ALFORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 S QUEBEC WAY
Mailing Address - Street 2:APT #21
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2698
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12631 E 17TH AVE
Practice Address - Street 2:C238-L15
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2527
Practice Address - Country:US
Practice Address - Phone:303-724-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017378183500000X
COPHA 18766183500000X
MT6336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist