Provider Demographics
NPI:1821209248
Name:KROGER, JULIE C (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:C
Last Name:KROGER
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 1:1840 ROBIN WHIPPLE WAY
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1853
Mailing Address - Country:US
Mailing Address - Phone:650-654-8964
Mailing Address - Fax:
Practice Address - Street 1:KAISER MEDICAL CENTER ANTICOAGULATION CLINIC
Practice Address - Street 2:1150 VETERANS BLVD.
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-299-2623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist