MEDICARE: NAN V JULIUS PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202216196	VA

General Provider Information

NPI Number	:	1083126965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAN V JULIUS PHARM.D

Provider Business Mailing Address
First Line	:	9808 BROOKS HALL PL
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238-5550
Country	:	US
Telephone Number	:	804-741-4089
Fax Number	:

Provider Business Practice Location Address
First Line	:	7603 FOREST AVE STE 209
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4937
Country	:	US
Telephone Number	:	804-282-7770
Fax Number	:	804-282-3752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	10/31/2017

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