Healthcare Provider Details

I. General information

NPI: 1619588399
Provider Name (Legal Business Name): JULIE A DEMAY PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35279 VINE ST
WILLOWICK OH
44095-3140
US

IV. Provider business mailing address

35279 VINE ST
WILLOWICK OH
44095-3140
US

V. Phone/Fax

Practice location:
  • Phone: 440-918-0700
  • Fax:
Mailing address:
  • Phone: 440-918-0700
  • Fax: 440-918-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03326681
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: