Provider Demographics
NPI:1518352285
Name:WILLIS, JULIANNE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:ELIZABETH
Last Name:WILLIS
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 1:1525 GREENBRIER DEAR RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-6705
Mailing Address - Country:US
Mailing Address - Phone:256-237-8139
Mailing Address - Fax:256-831-1480
Practice Address - Street 1:1525 GREENBRIER DEAR RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-6705
Practice Address - Country:US
Practice Address - Phone:256-237-8139
Practice Address - Fax:256-831-1480
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19290183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist