Provider Demographics
NPI:1831473115
Name:BROWN, JULIE KAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:BROWN
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 1:1757 W WASHAM RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-3747
Mailing Address - Country:US
Mailing Address - Phone:208-244-2091
Mailing Address - Fax:
Practice Address - Street 1:3150 W CHERRY LN
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-1122
Practice Address - Country:US
Practice Address - Phone:208-319-2312
Practice Address - Fax:208-319-2316
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP65021835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy