Provider Demographics
NPI:1821325531
Name:SOMMERS, JULIANNE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:
Last Name:SOMMERS
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 1:1305 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3036
Mailing Address - Country:US
Mailing Address - Phone:814-333-9449
Mailing Address - Fax:814-337-8566
Practice Address - Street 1:1305 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3036
Practice Address - Country:US
Practice Address - Phone:814-333-9449
Practice Address - Fax:814-337-8566
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039323L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist