Provider Demographics
NPI:1528575909
Name:WHEELERSBURG, JULY A (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULY
Middle Name:A
Last Name:WHEELERSBURG
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 1:100 STUMER RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6417
Mailing Address - Country:US
Mailing Address - Phone:605-877-3298
Mailing Address - Fax:605-877-3292
Practice Address - Street 1:100 STUMER RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6417
Practice Address - Country:US
Practice Address - Phone:605-877-3298
Practice Address - Fax:605-877-3292
Is Sole Proprietor?:No
Enumeration Date:2018-01-06
Last Update Date:2018-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR6146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist