Healthcare Provider Details

I. General information

NPI: 1174821573
Provider Name (Legal Business Name): JULIE ANN HARRIS RPH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANN ABERNATHY RPH.

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 W HENDERSON ST
CLEBURNE TX
76033-4122
US

IV. Provider business mailing address

1617 W HENDERSON ST
CLEBURNE TX
76033-4122
US

V. Phone/Fax

Practice location:
  • Phone: 817-614-0070
  • Fax: 817-645-5608
Mailing address:
  • Phone: 817-614-0070
  • Fax: 817-645-5608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36023
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: