Provider Demographics
NPI:1497467997
Name:MERCER, JULIANNE ALYSSA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:ALYSSA
Last Name:MERCER
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 1:4835 USAA BLVD APT 8103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3296
Mailing Address - Country:US
Mailing Address - Phone:516-581-9698
Mailing Address - Fax:
Practice Address - Street 1:8403 FLOYD CURL DR
Practice Address - Street 2:ROBERT F. MCDERMOTT CLINICAL SCIENCE BUILDING
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:516-581-9698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist