Provider Demographics
NPI:1346431681
Name:SCOTT, JULIE LYNNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LYNNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:LYNNE
Other - Last Name:TOLLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:350 N ROPE PL
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-5008
Mailing Address - Country:US
Mailing Address - Phone:336-543-4957
Mailing Address - Fax:
Practice Address - Street 1:101 PROFESSIONAL LN
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2085
Practice Address - Country:US
Practice Address - Phone:334-348-9200
Practice Address - Fax:334-348-9003
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC164081835P1200X
OR00179341835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy