Healthcare Provider Details

I. General information

NPI: 1487176954
Provider Name (Legal Business Name): JULIE KAY PERDUE PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 W PARK SQ
XENIA OH
45385-2667
US

IV. Provider business mailing address

219 PURCELL DR
XENIA OH
45385-1213
US

V. Phone/Fax

Practice location:
  • Phone: 937-376-5534
  • Fax: 937-376-7889
Mailing address:
  • Phone: 937-604-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03237008
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03237008
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: