Provider Demographics
NPI:1548860125
Name:BYRN, JULIA ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:BYRN
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 1:4216 E CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-7004
Mailing Address - Country:US
Mailing Address - Phone:580-216-0270
Mailing Address - Fax:
Practice Address - Street 1:3215 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-6738
Practice Address - Country:US
Practice Address - Phone:580-256-0097
Practice Address - Fax:580-256-1559
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist