Provider Demographics
NPI:1679116339
Name:BARCLAY, JULIE LOPEZ (RPH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LOPEZ
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-7374
Mailing Address - Country:US
Mailing Address - Phone:409-755-4932
Mailing Address - Fax:409-755-0046
Practice Address - Street 1:421 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-7374
Practice Address - Country:US
Practice Address - Phone:409-755-4932
Practice Address - Fax:409-755-0046
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist