Provider Demographics
NPI:1699787275
Name:THORNTON SHERRILL, JULIE K (PHARMD, MBA)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:K
Last Name:THORNTON SHERRILL
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:K
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, MBA
Mailing Address - Street 1:390 AIRTECH PKWY STE 106A
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-7456
Mailing Address - Country:US
Mailing Address - Phone:317-754-5588
Mailing Address - Fax:317-963-5003
Practice Address - Street 1:390 AIRTECH PKWY STE 106A
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-7456
Practice Address - Country:US
Practice Address - Phone:317-754-5588
Practice Address - Fax:317-963-5003
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021178A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist