Provider Demographics
NPI:1730170895
Name:GOUVEIA-PISANO, JULIE ANN (BSPHARM,PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:GOUVEIA-PISANO
Suffix:
Gender:F
Credentials:BSPHARM,PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BALTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9412
Mailing Address - Country:US
Mailing Address - Phone:919-567-1673
Mailing Address - Fax:919-567-1673
Practice Address - Street 1:105 BALTIMORE RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9412
Practice Address - Country:US
Practice Address - Phone:919-567-1673
Practice Address - Fax:919-567-1673
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12148183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy