Provider Demographics
NPI:1790570489
Name:FERNANDEZ, JULIO JOSE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:JOSE
Last Name:FERNANDEZ
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3361 MOUNTAIN HILL DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9752
Mailing Address - Country:US
Mailing Address - Phone:908-397-5875
Mailing Address - Fax:
Practice Address - Street 1:3361 MOUNTAIN HILL DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9752
Practice Address - Country:US
Practice Address - Phone:908-397-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27291183500000X
NC26635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist