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NPI Code Detail

MEDICARE: DR. JULIA D MATEJEC PHARM.D.

MEDICARE: DR. JULIA D MATEJEC 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
11835P1200XPharmacotherapy Pharmacist12033OK

General Provider Information

NPI Number : 1235127440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA D MATEJEC PHARM.D.
Provider Business Mailing Address
First Line : 2631 S BOSTON PL
Second Line :
City : TULSA
State : OK
Zip : 74114-2437
Country : US
Telephone Number : 918-289-3014
Fax Number : 918-286-5278
Provider Business Practice Location Address
First Line : 10109 E 79TH ST
Second Line : INPATIENT PHARMACY
City : TULSA
State : OK
Zip : 74133-4564
Country : US
Telephone Number : 918-286-5256
Fax Number : 918-286-5278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 07/08/2007

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