Provider Demographics
NPI:1366866543
Name:BIRKEMEIER, JULIA (RPH)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:BIRKEMEIER
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 1:137 ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-8626
Mailing Address - Country:US
Mailing Address - Phone:419-783-2810
Mailing Address - Fax:419-783-2865
Practice Address - Street 1:137 ELLIOTT RD
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-8626
Practice Address - Country:US
Practice Address - Phone:419-783-2810
Practice Address - Fax:419-783-2865
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-09
Last Update Date:2014-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03321747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist