Provider Demographics
NPI:1518452416
Name:STANTON, JULIA HELEN
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:HELEN
Last Name:STANTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50680 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3107
Mailing Address - Country:US
Mailing Address - Phone:586-323-8270
Mailing Address - Fax:586-323-8273
Practice Address - Street 1:50680 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-3107
Practice Address - Country:US
Practice Address - Phone:586-323-8270
Practice Address - Fax:586-323-8273
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302026235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist