Provider Demographics
NPI:1871015032
Name:AMORIN, JULIO S (RPH)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:S
Last Name:AMORIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 E MAIN ST # 228
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3909
Mailing Address - Country:US
Mailing Address - Phone:972-954-9400
Mailing Address - Fax:214-785-4594
Practice Address - Street 1:408 N ALLEN DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2500
Practice Address - Country:US
Practice Address - Phone:972-954-9400
Practice Address - Fax:214-785-4594
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34724183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34724OtherPHARMCIST LICENSE
NCPDPOther5902285
TX27324OtherPHARMACY LICENSE
TX34724OtherPHARMCIST LICENSE