Provider Demographics
NPI:1720390370
Name:HERRERA, JUILIAN ARTURO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JUILIAN
Middle Name:ARTURO
Last Name:HERRERA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GERONIMO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2131
Mailing Address - Country:US
Mailing Address - Phone:915-778-9000
Mailing Address - Fax:
Practice Address - Street 1:1100 GERONIMO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3402
Practice Address - Country:US
Practice Address - Phone:915-778-9301
Practice Address - Fax:915-778-1516
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44749183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist