Provider Demographics
NPI:1457629099
Name:MUNGER, JULIE K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:K
Last Name:MUNGER
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 1:9474 CROSSWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-2540
Mailing Address - Country:US
Mailing Address - Phone:801-661-9211
Mailing Address - Fax:
Practice Address - Street 1:9474 CROSSWOOD LN
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-2540
Practice Address - Country:US
Practice Address - Phone:801-661-9211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT259987-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist