Provider Demographics
NPI:1346993474
Name:JULES, HERNLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HERNLEY
Middle Name:
Last Name:JULES
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 1:51 GALLERY CT
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-2709
Mailing Address - Country:US
Mailing Address - Phone:770-298-0548
Mailing Address - Fax:
Practice Address - Street 1:455 NATHAN DEAN BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-4921
Practice Address - Country:US
Practice Address - Phone:770-443-8776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033415183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist