Healthcare Provider Details

I. General information

NPI: 1154770428
Provider Name (Legal Business Name): JULIA WEI PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 SE 192ND AVE
VANCOUVER WA
98683-1436
US

IV. Provider business mailing address

1519 S SHENANDOAH ST APT. 1
LOS ANGELES CA
90035-4461
US

V. Phone/Fax

Practice location:
  • Phone: 360-253-3016
  • Fax:
Mailing address:
  • Phone: 408-805-5447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number73548
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60993619
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: