MEDICARE: DR. JULIE PEREZ DENNIS PHARMD

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	47834	TX

General Provider Information

NPI Number	:	1174240220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE PEREZ DENNIS PHARMD

Provider Business Mailing Address
First Line	:	1525 NORTH LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1650
Country	:	US
Telephone Number	:	713-868-7456
Fax Number	:	713-426-9029

Provider Business Practice Location Address
First Line	:	1525 NORTH LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1650
Country	:	US
Telephone Number	:	713-868-7456
Fax Number	:	713-426-9029

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

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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