Provider Demographics
NPI:1538516034
Name:ROGERS, JULIANNA G (PHC)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:G
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PHC
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:G
Other - Last Name:JARAMILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1131 UNIVERSITY BLVD NE
Mailing Address - Street 2:SUITE G
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1728
Mailing Address - Country:US
Mailing Address - Phone:505-272-2341
Mailing Address - Fax:505-272-8177
Practice Address - Street 1:1131 UNIVERSITY BLVD NE
Practice Address - Street 2:SUITE G
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1728
Practice Address - Country:US
Practice Address - Phone:505-272-2341
Practice Address - Fax:505-272-8177
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPC000002501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist