Provider Demographics
NPI:1477762102
Name:GWIN, JULIE JANELLEN (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:JANELLEN
Last Name:GWIN
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 1:100 E LANCASTER AVE
Mailing Address - Street 2:INPATIENT PHARMACY DEPARTMENT - GROUND FLOOR
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-645-3104
Mailing Address - Fax:610-645-8098
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:INPATIENT PHARMACY DEPARTMENT - GROUND FLOOR
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-645-3104
Practice Address - Fax:610-645-8098
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036463R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist