Provider Demographics
NPI:1174274732
Name:ACRA, JULIE E (RPH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:ACRA
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 1:26 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1251
Mailing Address - Country:US
Mailing Address - Phone:812-593-4265
Mailing Address - Fax:317-295-3056
Practice Address - Street 1:26 S GREEN ST
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1251
Practice Address - Country:US
Practice Address - Phone:317-350-2917
Practice Address - Fax:317-350-2917
Is Sole Proprietor?:No
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018907A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist