=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801955695
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE ANN BRANAMAN PHARM D
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/07/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 810 W COMMERCE ST
-----------------------------------------------------
City | BROWNSTOWN
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47220-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-358-4502
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 810 W COMMERCE ST
-----------------------------------------------------
City | BROWNSTOWN
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47220-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 26021787A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------