Healthcare Provider Details

I. General information

NPI: 1598390817
Provider Name (Legal Business Name): JULIA ANN-MARIE RABEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 COUNTY ROAD E E
VADNAIS HEIGHTS MN
55127-7114
US

IV. Provider business mailing address

975 COUNTY ROAD E E
VADNAIS HEIGHTS MN
55127-7114
US

V. Phone/Fax

Practice location:
  • Phone: 651-483-2776
  • Fax:
Mailing address:
  • Phone: 651-483-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number123840
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: