Provider Demographics
NPI:1518248327
Name:MCDONALD, JULIE ANNE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1762 MARS HILL RD NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8091
Mailing Address - Country:US
Mailing Address - Phone:770-424-2177
Mailing Address - Fax:770-424-2655
Practice Address - Street 1:1762 MARS HILL RD NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8091
Practice Address - Country:US
Practice Address - Phone:770-424-2177
Practice Address - Fax:770-424-2655
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist