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NPI Code Detail

MEDICARE: MRS. JULIE KRISTINE FORD PHARM.D.

MEDICARE: MRS. JULIE KRISTINE FORD 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
1183500000XPharmacistR5249SD

General Provider Information

NPI Number : 1699818047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE KRISTINE FORD PHARM.D.
Provider Business Mailing Address
First Line : 4300 S PILLSBERRY AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-7655
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4901 N 4TH AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-0444
Country : US
Telephone Number : 605-373-0100
Fax Number : 605-373-4832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 07/11/2007

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