Provider Demographics
NPI:1902159775
Name:RHOADES, JULIA EVAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:EVAN
Last Name:RHOADES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:EVAN
Other - Last Name:SCHURR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1628 N QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-2947
Mailing Address - Country:US
Mailing Address - Phone:252-522-2471
Mailing Address - Fax:252-527-6955
Practice Address - Street 1:1628 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-2947
Practice Address - Country:US
Practice Address - Phone:252-522-2471
Practice Address - Fax:252-527-6955
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist