Provider Demographics
NPI:1174696983
Name:TESTMAN, JULIE ANNE (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:TESTMAN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1045
Mailing Address - Country:US
Mailing Address - Phone:304-357-4964
Mailing Address - Fax:
Practice Address - Street 1:400 DIVISION ST
Practice Address - Street 2:SUITE 10
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1459
Practice Address - Country:US
Practice Address - Phone:304-767-7897
Practice Address - Fax:304-767-7898
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV6774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist