Provider Demographics
NPI:1528479656
Name:EMELANDER, JULIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:EMELANDER
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 1:2159 WHISTLEPIPE DR SW
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-7200
Mailing Address - Country:US
Mailing Address - Phone:616-485-8719
Mailing Address - Fax:
Practice Address - Street 1:115 E MAIN AVE
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1793
Practice Address - Country:US
Practice Address - Phone:616-772-4685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036112183500000X
MI5315097922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist