Provider Demographics
NPI:1871732677
Name:MCDONALD, JULIE LYNCH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LYNCH
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:333 COLD STORAGE RD
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:AK
Mailing Address - Zip Code:99921-2880
Mailing Address - Country:US
Mailing Address - Phone:907-826-5750
Mailing Address - Fax:
Practice Address - Street 1:333 COLD STORAGE ROAD
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:AK
Practice Address - Zip Code:99921
Practice Address - Country:US
Practice Address - Phone:907-826-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 44207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist