MEDICARE: JULIE SIMPSON

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	35567	TX

General Provider Information

NPI Number	:	1851825038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SIMPSON

Provider Business Mailing Address
First Line	:	109 ABNER JACKSON PKWY
Second Line	:	STE. B
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5159
Country	:	US
Telephone Number	:	979-297-9503
Fax Number	:	979-480-0254

Provider Business Practice Location Address
First Line	:	109 ABNER JACKSON PKWY
Second Line	:	STE. B
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5159
Country	:	US
Telephone Number	:	979-297-9503
Fax Number	:	979-480-0254

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

Provider Enumeration Date	:	04/14/2017
Last Update Date	:	04/14/2017

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Directions to “ JULIE SIMPSON ” Practice Location

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