Provider Demographics
NPI:1043456395
Name:HALL, JULIA KRISTINE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:KRISTINE
Last Name:HALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:KRISTINE
Other - Last Name:POLZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1920 S HILL RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-3231
Mailing Address - Country:US
Mailing Address - Phone:330-671-1912
Mailing Address - Fax:
Practice Address - Street 1:2821 E HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48356-2763
Practice Address - Country:US
Practice Address - Phone:248-889-1842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228086183500000X
MI5302045314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0630446Medicaid
OH0514201502Medicare UPIN