Healthcare Provider Details

I. General information

NPI: 1871732677
Provider Name (Legal Business Name): JULIE LYNCH MCDONALD PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE ELIZABETH LYNCH PHARM.D.

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 COLD STORAGE ROAD
CRAIG AK
99921
US

IV. Provider business mailing address

333 COLD STORAGE RD
CRAIG AK
99921-2880
US

V. Phone/Fax

Practice location:
  • Phone: 907-826-5750
  • Fax:
Mailing address:
  • Phone: 907-826-5750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS 44207
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: