Provider Demographics
NPI:1730526682
Name:NGUYEN, JULIE MAI-ANH (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MAI-ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 196TH ST SW
Mailing Address - Street 2:STE 175
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5561
Mailing Address - Country:US
Mailing Address - Phone:425-670-0233
Mailing Address - Fax:425-670-0242
Practice Address - Street 1:4615 196TH ST SW
Practice Address - Street 2:STE 175
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5561
Practice Address - Country:US
Practice Address - Phone:425-670-0233
Practice Address - Fax:425-670-0242
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-02
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60342106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist