Provider Demographics
NPI:1700900198
Name:HUNTER, JULIE NICHOLS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:NICHOLS
Last Name:HUNTER
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 1:2418 WYNCOVE WAY
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36067-7191
Mailing Address - Country:US
Mailing Address - Phone:334-361-9820
Mailing Address - Fax:
Practice Address - Street 1:842 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-5820
Practice Address - Country:US
Practice Address - Phone:334-365-1139
Practice Address - Fax:800-498-0391
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist