Provider Demographics
NPI:1538467998
Name:CHAMBERS, JULIE (PHARMD, CTTS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PHARMD, CTTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S WALL ST
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-2620
Mailing Address - Country:US
Mailing Address - Phone:770-365-6113
Mailing Address - Fax:
Practice Address - Street 1:910 S WALL ST
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2620
Practice Address - Country:US
Practice Address - Phone:770-365-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0199711835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist