Provider Demographics
NPI:1801101548
Name:PELAGATTI, JULIA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:PELAGATTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 STONEHAM DR
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-1346
Mailing Address - Country:US
Mailing Address - Phone:609-706-5919
Mailing Address - Fax:
Practice Address - Street 1:54 E SCOTT ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:NJ
Practice Address - Zip Code:08075-3616
Practice Address - Country:US
Practice Address - Phone:856-461-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02221400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist