Healthcare Provider Details

I. General information

NPI: 1669985289
Provider Name (Legal Business Name): JULIA ANNE YOUNG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22828 100TH AVE W
EDMONDS WA
98020-5920
US

IV. Provider business mailing address

22828 100TH AVE W
EDMONDS WA
98020-5920
US

V. Phone/Fax

Practice location:
  • Phone: 425-778-2144
  • Fax:
Mailing address:
  • Phone: 425-778-2144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH61081238
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: