Provider Demographics
NPI:1538454947
Name:DRUJAK, JULIE ALYSE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ALYSE
Last Name:DRUJAK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 W COMMERCIAL BLVD
Mailing Address - Street 2:STORE T-1778
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4301
Mailing Address - Country:US
Mailing Address - Phone:954-749-6068
Mailing Address - Fax:954-749-6068
Practice Address - Street 1:7730 W COMMERCIAL BLVD
Practice Address - Street 2:STORE T-1778
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-4301
Practice Address - Country:US
Practice Address - Phone:954-749-6068
Practice Address - Fax:954-749-6068
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist