Provider Demographics
NPI:1477849396
Name:PARR, JULIA RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RENEE
Last Name:PARR
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 1:9777 N COUNCIL RD
Mailing Address - Street 2:APT 3911
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-5500
Mailing Address - Country:US
Mailing Address - Phone:405-226-5690
Mailing Address - Fax:
Practice Address - Street 1:9777 N COUNCIL RD
Practice Address - Street 2:APT 3911
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-5500
Practice Address - Country:US
Practice Address - Phone:405-226-5690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100245480JMedicaid