Provider Demographics
NPI:1174838254
Name:DELLA-MEA, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:DELLA-MEA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4258 WESLEY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-8209
Mailing Address - Country:US
Mailing Address - Phone:803-980-2953
Mailing Address - Fax:
Practice Address - Street 1:4258 WESLEY WOOD DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-8209
Practice Address - Country:US
Practice Address - Phone:803-980-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist