Provider Demographics
NPI:1417239559
Name:TUKALO, JULIANN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JULIANN
Middle Name:
Last Name:TUKALO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 HUNTERS HL
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-5310
Mailing Address - Country:US
Mailing Address - Phone:330-757-4098
Mailing Address - Fax:
Practice Address - Street 1:30 W MCKINLEY WAY
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1988
Practice Address - Country:US
Practice Address - Phone:330-757-4752
Practice Address - Fax:330-757-6007
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-26027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist