Individual
JULIA NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 ISLAND AVE STE 201, LA GRANDE, OR 97850-3949
(541) 963-8696
Mailing address
PO BOX 585, LA GRANDE, OR 97850-0585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016388
OR
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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