Provider Demographics
NPI:1215167929
Name:LAST, JULIA PLINER (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:PLINER
Last Name:LAST
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 1:1450 CHAPEL ST
Mailing Address - Street 2:HOSPITLA OF ST. RAPHAEL'S DEPARTMENT OF PHARMACY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4405
Mailing Address - Country:US
Mailing Address - Phone:203-789-3493
Mailing Address - Fax:203-867-5511
Practice Address - Street 1:1450 CHAPEL ST
Practice Address - Street 2:HOSPITLA OF ST. RAPHAEL'S DEPARTMENT OF PHARMACY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4405
Practice Address - Country:US
Practice Address - Phone:203-789-3493
Practice Address - Fax:203-867-5511
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.00104411835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist