1659325512 NPI number — MRS. JULIE MEE JUN WONG MCCUTCHEON PHARM.D.

Table of content: MRS. JULIE MEE JUN WONG MCCUTCHEON PHARM.D. (NPI 1659325512)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659325512 NPI number — MRS. JULIE MEE JUN WONG MCCUTCHEON PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCUTCHEON
Provider First Name:
JULIE
Provider Middle Name:
MEE JUN WONG
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WONG
Provider Other First Name:
JULIE
Provider Other Middle Name:
MEE JUN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659325512
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9912 LITTLE RD
Provider Second Line Business Mailing Address:
DEPARTMENT OF PHARMACY (119)
Provider Business Mailing Address City Name:
NEW PORT RICHEY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34654-3419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-869-4100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9912 LITTLE RD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PHARMACY (119)
Provider Business Practice Location Address City Name:
NEW PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34654-3419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-869-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P1200X , with the licence number:  PS34388 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1835P1200X , with the licence number: PS 34388 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)