Provider Demographics
NPI:1144669888
Name:CHULYAKOVA, JULIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:CHULYAKOVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 AVENUE Z APT 101
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2632
Mailing Address - Country:US
Mailing Address - Phone:646-269-0768
Mailing Address - Fax:
Practice Address - Street 1:360 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-3739
Practice Address - Country:US
Practice Address - Phone:201-433-6990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-16
Last Update Date:2013-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03416500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist