Provider Demographics
NPI:1932440211
Name:FREEMAN, JULIE LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:FREEMAN
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 1:4445 NATHAN LN N
Mailing Address - Street 2:CUB PHARMACY #1633
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55442-4518
Mailing Address - Country:US
Mailing Address - Phone:763-557-0377
Mailing Address - Fax:
Practice Address - Street 1:4445 NATHAN LN N
Practice Address - Street 2:CUB PHARMACY #1633
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55442-4518
Practice Address - Country:US
Practice Address - Phone:763-557-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist