Provider Demographics
NPI:1821555822
Name:DAILY, JULIE BETH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BETH
Last Name:DAILY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:BETH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:MOORELAND
Mailing Address - State:OK
Mailing Address - Zip Code:73852-0485
Mailing Address - Country:US
Mailing Address - Phone:580-994-5988
Mailing Address - Fax:580-994-2387
Practice Address - Street 1:417 SW 7TH ST STE 2
Practice Address - Street 2:
Practice Address - City:MOORELAND
Practice Address - State:OK
Practice Address - Zip Code:73852-7603
Practice Address - Country:US
Practice Address - Phone:580-994-5988
Practice Address - Fax:580-994-2387
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist