Provider Demographics
NPI:1003545153
Name:ANNIS, JULIA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:M
Last Name:ANNIS
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 1:4611 HOPE VALLEY RD APT G
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6604
Mailing Address - Country:US
Mailing Address - Phone:207-717-6011
Mailing Address - Fax:
Practice Address - Street 1:300 NW OAK TREE LN
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1694
Practice Address - Country:US
Practice Address - Phone:657-554-1923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0018949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist