Provider Demographics
NPI:1851558142
Name:POOLE BRIEN, JULIE CATHERINE (PHARM D)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CATHERINE
Last Name:POOLE BRIEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3696 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:LA
Mailing Address - Zip Code:70359-6122
Mailing Address - Country:US
Mailing Address - Phone:985-872-4547
Mailing Address - Fax:985-580-0213
Practice Address - Street 1:3696 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-6122
Practice Address - Country:US
Practice Address - Phone:985-872-4547
Practice Address - Fax:985-580-0213
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist