Provider Demographics
NPI:1205257094
Name:SKARNAGEL, JULIE ANN (RPH)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:SKARNAGEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 N BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7805
Mailing Address - Country:US
Mailing Address - Phone:972-252-6450
Mailing Address - Fax:972-252-9553
Practice Address - Street 1:3612 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7805
Practice Address - Country:US
Practice Address - Phone:972-252-6450
Practice Address - Fax:972-252-9553
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist