Healthcare Provider Details

I. General information

NPI: 1033360532
Provider Name (Legal Business Name): JULIE CARTER PHARMD, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CLARENDON DR
GREENSBORO NC
27410-2955
US

IV. Provider business mailing address

340 STEEPLE GATE DR
MOORESVILLE NC
28115-7425
US

V. Phone/Fax

Practice location:
  • Phone: 704-677-6345
  • Fax:
Mailing address:
  • Phone: 704-677-6345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number27410
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number13242
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: