Provider Demographics
NPI:1801025838
Name:COTREAU, JULIE T (PHARMD, PIC, CIP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:T
Last Name:COTREAU
Suffix:
Gender:F
Credentials:PHARMD, PIC, CIP
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:T
Other - Last Name:FREDETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, PRH, CIP
Mailing Address - Street 1:75 PORTSMOUTH AVE SUITE 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833
Mailing Address - Country:US
Mailing Address - Phone:603-778-0553
Mailing Address - Fax:
Practice Address - Street 1:75 PORTSMOUTH AVE
Practice Address - Street 2:EXETER
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2105
Practice Address - Country:US
Practice Address - Phone:603-778-0553
Practice Address - Fax:603-778-2587
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-12
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist