Provider Demographics
NPI:1205121431
Name:KRUMER, JULIA (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:KRUMER
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 1:6635 FALLBROOK AVE
Mailing Address - Street 2:T-0228
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3520
Mailing Address - Country:US
Mailing Address - Phone:818-888-5861
Mailing Address - Fax:818-888-5861
Practice Address - Street 1:6635 FALLBROOK AVE
Practice Address - Street 2:T-0228
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3520
Practice Address - Country:US
Practice Address - Phone:818-888-5861
Practice Address - Fax:818-888-5861
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist