Healthcare Provider Details

I. General information

NPI: 1942114293
Provider Name (Legal Business Name): JULIA BLEVINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 PULASKI HWY
BEAR DE
19701-1303
US

IV. Provider business mailing address

106 VINCENT CIR
MIDDLETOWN DE
19709-3021
US

V. Phone/Fax

Practice location:
  • Phone: 302-373-5879
  • Fax:
Mailing address:
  • Phone: 302-373-5879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0016284
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: