Provider Demographics
NPI:1700168242
Name:MORGAN, JULIE C (RPH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:C
Last Name:MORGAN
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 1:7676 LIDDESDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9790
Mailing Address - Country:US
Mailing Address - Phone:614-575-8429
Mailing Address - Fax:
Practice Address - Street 1:7900 E BROAD ST
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-8240
Practice Address - Country:US
Practice Address - Phone:614-367-7923
Practice Address - Fax:614-367-0197
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-11
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-21848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist