Healthcare Provider Details

I. General information

NPI: 1609323963
Provider Name (Legal Business Name): JULIE SLOAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE DIPILATO PHARMD

II. Dates (important events)

Enumeration Date: 09/04/2016
Last Update Date: 10/21/2026
Certification Date: 10/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 LAKE AVE N
WORCESTER MA
01655-0002
US

IV. Provider business mailing address

7 BRINTNAL DR
RUTLAND MA
01543-1608
US

V. Phone/Fax

Practice location:
  • Phone: 774-431-0575
  • Fax:
Mailing address:
  • Phone: 774-329-0682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH236962
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: