Provider Demographics
NPI:1376856914
Name:FLORES, JULIE LOUISE (PHARM D)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LOUISE
Last Name:FLORES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8851 VERANDA CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-2623
Mailing Address - Country:US
Mailing Address - Phone:210-391-5414
Mailing Address - Fax:
Practice Address - Street 1:8231 MARBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-1652
Practice Address - Country:US
Practice Address - Phone:210-673-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-25
Last Update Date:2010-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist