Provider Demographics
NPI:1891185898
Name:KULESA, JULIA (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:KULESA
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RYDERS LN
Mailing Address - Street 2:C/O PHARMACY
Mailing Address - City:MILLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-1700
Mailing Address - Country:US
Mailing Address - Phone:732-613-3962
Mailing Address - Fax:732-867-0590
Practice Address - Street 1:400 RYDERS LN
Practice Address - Street 2:C/O PHARMACY
Practice Address - City:MILLTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08850-1700
Practice Address - Country:US
Practice Address - Phone:732-613-3962
Practice Address - Fax:732-867-0590
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RW00348500183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician