Healthcare Provider Details

I. General information

NPI: 1124944665
Provider Name (Legal Business Name): JULIE PARIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 KING OF PRUSSIA RD STE 202N
RADNOR PA
19087-4557
US

IV. Provider business mailing address

301 VILLAGE DR APT 495
KING OF PRUSSIA PA
19406-3252
US

V. Phone/Fax

Practice location:
  • Phone: 610-902-4855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP454724
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: