Provider Demographics
NPI:1174846257
Name:PARKER, JULIE ANN BAROUDI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIE ANN
Middle Name:BAROUDI
Last Name:PARKER
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 1:4528 E OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6326
Mailing Address - Country:US
Mailing Address - Phone:716-675-3784
Mailing Address - Fax:716-675-7777
Practice Address - Street 1:40 N AMERICA DR
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2225
Practice Address - Country:US
Practice Address - Phone:716-675-3784
Practice Address - Fax:716-675-3784
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist