MEDICARE: DR. JULIE Q. NGUYEN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00051668	WA

General Provider Information

NPI Number	:	1861571788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE Q. NGUYEN PHARMD

Provider Business Mailing Address
First Line	:	8316 121ST AVE SE
Second Line	:
City	:	NEWCASTLE
State	:	WA
Zip	:	98056-4408
Country	:	US
Telephone Number	:	425-572-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	10501 MERIDIAN AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-9509
Country	:	US
Telephone Number	:	206-296-4908
Fax Number	:	206-205-3095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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