Healthcare Provider Details

I. General information

NPI: 1457459976
Provider Name (Legal Business Name): JULIE C BARTELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 22ND AVE
MONROE WI
53566-1569
US

IV. Provider business mailing address

515 22ND AVE
MONROE WI
53566-1569
US

V. Phone/Fax

Practice location:
  • Phone: 608-324-2259
  • Fax: 608-324-2105
Mailing address:
  • Phone: 608-324-2259
  • Fax: 608-324-2105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14713-040
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number14713
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: