Healthcare Provider Details

I. General information

NPI: 1942463344
Provider Name (Legal Business Name): JULIE A MCNEIL PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE A FARNEY PHARM.D.

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 E KELLOGG DR PHARMACY DEPT.
WICHITA KS
67218-1607
US

IV. Provider business mailing address

2230 N STONEGATE CIR
ANDOVER KS
67002-7571
US

V. Phone/Fax

Practice location:
  • Phone: 316-685-2221
  • Fax:
Mailing address:
  • Phone: 620-474-6705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14459
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number1-14459
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: