Provider Demographics
NPI:1205978343
Name:GUILLORY, JULIA F (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:F
Last Name:GUILLORY
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 1:1536 DUBLIN ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-3272
Mailing Address - Country:US
Mailing Address - Phone:270-843-1206
Mailing Address - Fax:
Practice Address - Street 1:1711 ASHLEY CIR
Practice Address - Street 2:SUITE A-5
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5801
Practice Address - Country:US
Practice Address - Phone:270-843-4655
Practice Address - Fax:270-796-8326
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist