Healthcare Provider Details

I. General information

NPI: 1881824001
Provider Name (Legal Business Name): JULIE L MENEGAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7219 N LITCHFIELD RD
GLENDALE AZ
85309-1529
US

IV. Provider business mailing address

7219 N LITCHFIELD RD
GLENDALE AZ
85309-1529
US

V. Phone/Fax

Practice location:
  • Phone: 623-856-2272
  • Fax: 701-723-5302
Mailing address:
  • Phone: 623-856-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03131789
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH.03131789-1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: