Provider Demographics
NPI:1235127440
Name:MATEJEC, JULIA D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:D
Last Name:MATEJEC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2631 S BOSTON PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-2437
Mailing Address - Country:US
Mailing Address - Phone:918-289-3014
Mailing Address - Fax:918-286-5278
Practice Address - Street 1:10109 E 79TH ST
Practice Address - Street 2:INPATIENT PHARMACY
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4564
Practice Address - Country:US
Practice Address - Phone:918-286-5256
Practice Address - Fax:918-286-5278
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK120331835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy