Provider Demographics
NPI:1871171710
Name:NJULI, JULIA AMBAHE (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:AMBAHE
Last Name:NJULI
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 1:12401 BRICKYARD BLVD APT 1001
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1342
Mailing Address - Country:US
Mailing Address - Phone:240-460-4692
Mailing Address - Fax:
Practice Address - Street 1:12401 BRICKYARD BLVD APT 1001
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1342
Practice Address - Country:US
Practice Address - Phone:240-460-4692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist