MEDICARE: MS. JULIE ANN SKARNAGEL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	28675	TX

General Provider Information

NPI Number	:	1205257094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE ANN SKARNAGEL RPH

Provider Business Mailing Address
First Line	:	3612 N BELT LINE RD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-7805
Country	:	US
Telephone Number	:	972-252-6450
Fax Number	:	972-252-9553

Provider Business Practice Location Address
First Line	:	3612 N BELT LINE RD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-7805
Country	:	US
Telephone Number	:	972-252-6450
Fax Number	:	972-252-9553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2013
Last Update Date	:	05/22/2026

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