MEDICARE: DR. JULIE ANN CARPENTER 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	S018828	AZ

General Provider Information

NPI Number	:	1396021986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE ANN CARPENTER PHARMD

Provider Business Mailing Address
First Line	:	5012 4TH AVE N
Second Line	:	#5
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-1336
Country	:	US
Telephone Number	:	928-266-4132
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 ALDEN DR
Second Line	:
City	:	FE WARREN AFB
State	:	WY
Zip	:	82005-2945
Country	:	US
Telephone Number	:	307-773-2336
Fax Number	:

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

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	07/19/2024

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