Provider Demographics
NPI:1750600698
Name:INNES, JULIE ANN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:INNES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3643 HOWARD GAP ROAD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792
Mailing Address - Country:US
Mailing Address - Phone:828-698-2592
Mailing Address - Fax:828-698-5743
Practice Address - Street 1:3643 HOWARD GAP ROAD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792
Practice Address - Country:US
Practice Address - Phone:828-698-2592
Practice Address - Fax:828-698-5743
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist