Provider Demographics
NPI:1760797211
Name:RIZZO, JULIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:RIZZO
Suffix:
Gender:F
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:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:MN
Mailing Address - Zip Code:55395-0910
Mailing Address - Country:US
Mailing Address - Phone:320-485-2555
Mailing Address - Fax:320-485-4266
Practice Address - Street 1:150 MAIN AVE W
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:MN
Practice Address - Zip Code:55395-7872
Practice Address - Country:US
Practice Address - Phone:320-485-2555
Practice Address - Fax:320-485-4266
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist