Provider Demographics
NPI:1619296324
Name:BUCHANAN, JULIA M (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:BUCHANAN
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 1:2708 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-3410
Mailing Address - Country:US
Mailing Address - Phone:803-799-0036
Mailing Address - Fax:803-799-8296
Practice Address - Street 1:2708 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-3410
Practice Address - Country:US
Practice Address - Phone:803-799-0036
Practice Address - Fax:803-799-8296
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12590183500000X
NC20951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist