Provider Demographics
NPI:1346522083
Name:MCFADDEN, JULIA FRASER (RPH)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:FRASER
Last Name:MCFADDEN
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 1:3308 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1529
Mailing Address - Country:US
Mailing Address - Phone:610-930-0054
Mailing Address - Fax:610-930-0057
Practice Address - Street 1:3308 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1529
Practice Address - Country:US
Practice Address - Phone:610-930-0054
Practice Address - Fax:610-930-0057
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036716L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist