Healthcare Provider Details

I. General information

NPI: 1235122797
Provider Name (Legal Business Name): JULIA E CARDER RPH,PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH CARDER RPH, PHARMD, BCPS

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6098 DEBRA RD BLDG 6200 SUITE 5200
CHATTANOOGA TN
37411-5702
US

IV. Provider business mailing address

6098 DEBRA RD BLDG 6200 SUITE 5200
CHATTANOOGA TN
37411-5702
US

V. Phone/Fax

Practice location:
  • Phone: 423-893-6500
  • Fax: 423-892-3086
Mailing address:
  • Phone: 423-893-6500
  • Fax: 423-892-3086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH022150
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH022150
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: