Healthcare Provider Details
I. General information
NPI: 1700197290
Provider Name (Legal Business Name): JULIE G BILOHLAVEK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2010
Last Update Date: 09/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 ENGLAR RD
WESTMINSTER MD
21157-2929
US
IV. Provider business mailing address
250 ENGLAR RD
WESTMINSTER MD
21157-2929
US
V. Phone/Fax
- Phone: 410-876-1513
- Fax:
- Phone: 410-876-1513
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 18859 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: