Provider Demographics
NPI:1619592243
Name:STEPHENS, JULIE WILBECK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:WILBECK
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:WILBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:704 HARDING WAY SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1962
Mailing Address - Country:US
Mailing Address - Phone:256-655-2226
Mailing Address - Fax:
Practice Address - Street 1:704 HARDING WAY SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1962
Practice Address - Country:US
Practice Address - Phone:256-655-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL167241835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist