Provider Demographics
NPI:1821388786
Name:COLLINS, JULIA KAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:KAY
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:KAY
Other - Middle Name:COLLINS
Other - Last Name:EMBREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:610 BYPASS RD
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-1730
Mailing Address - Country:US
Mailing Address - Phone:270-422-5300
Mailing Address - Fax:270-422-7950
Practice Address - Street 1:610 BYPASS RD
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-1730
Practice Address - Country:US
Practice Address - Phone:270-422-5300
Practice Address - Fax:270-422-7950
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist