Provider Demographics
NPI:1487996468
Name:HASSLINGER, JULIE ANN (RPH)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:HASSLINGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 WATERS RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1562
Mailing Address - Country:US
Mailing Address - Phone:651-688-0564
Mailing Address - Fax:
Practice Address - Street 1:2915 WATERS RD
Practice Address - Street 2:SUITE 109
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1562
Practice Address - Country:US
Practice Address - Phone:651-688-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist