Provider Demographics
NPI:1871156299
Name:AMOS, JULIANNE MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:MARIE
Last Name:AMOS
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 1:2225 HAWKINS ST UNIT 266
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-6217
Mailing Address - Country:US
Mailing Address - Phone:317-292-7684
Mailing Address - Fax:
Practice Address - Street 1:1220 US HIGHWAY 321 NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2206
Practice Address - Country:US
Practice Address - Phone:828-324-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist