Provider Demographics
NPI:1801180278
Name:HOLDER, JULIE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELIZABETH
Last Name:HOLDER
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 1:8515 TANGLEWOOD SQ
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-6460
Mailing Address - Country:US
Mailing Address - Phone:440-708-1277
Mailing Address - Fax:440-708-1280
Practice Address - Street 1:8515 TANGLEWOOD SQ
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-6460
Practice Address - Country:US
Practice Address - Phone:440-708-1277
Practice Address - Fax:440-708-1280
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45485183500000X
OH03129754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist