Provider Demographics
NPI:1275137416
Name:TATE, JULIUS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:
Last Name:TATE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 FERN TER NW
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-6730
Mailing Address - Country:US
Mailing Address - Phone:334-332-2105
Mailing Address - Fax:
Practice Address - Street 1:215 US HIGHWAY 31 S
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2892
Practice Address - Country:US
Practice Address - Phone:256-233-0514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist