Provider Demographics
NPI:1235122797
Name:CARDER, JULIA E (RPH,PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:E
Last Name:CARDER
Suffix:
Gender:F
Credentials:RPH,PHARMD, BCPS
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:CARDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH, PHARMD, BCPS
Mailing Address - Street 1:6098 DEBRA RD BLDG 6200
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5702
Mailing Address - Country:US
Mailing Address - Phone:423-893-6500
Mailing Address - Fax:423-892-3086
Practice Address - Street 1:6098 DEBRA RD BLDG 6200
Practice Address - Street 2:SUITE 5200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5702
Practice Address - Country:US
Practice Address - Phone:423-893-6500
Practice Address - Fax:423-892-3086
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0221501835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist