Provider Demographics
NPI:1366795791
Name:BROWN, JULIE (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BROWN
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 1:12860 W CEDAR DR
Mailing Address - Street 2:#210
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1975
Mailing Address - Country:US
Mailing Address - Phone:303-763-5533
Mailing Address - Fax:303-763-9712
Practice Address - Street 1:12860 W CEDAR DR
Practice Address - Street 2:#210
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1975
Practice Address - Country:US
Practice Address - Phone:303-763-5533
Practice Address - Fax:303-763-9712
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist