Healthcare Provider Details

I. General information

NPI: 1326442880
Provider Name (Legal Business Name): JULIE FRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 E THUNDERBIRD RD
PHOENIX AZ
85032-5836
US

IV. Provider business mailing address

23021 N 41ST ST
PHOENIX AZ
85050-8735
US

V. Phone/Fax

Practice location:
  • Phone: 602-953-3540
  • Fax: 602-494-9467
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS016854
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: