Provider Demographics
NPI:1083207658
Name:URBANAVICIUS, JULIUS (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:URBANAVICIUS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 EVERGREEN WAY STE 5
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-2063
Mailing Address - Country:US
Mailing Address - Phone:360-335-2006
Mailing Address - Fax:
Practice Address - Street 1:3307 EVERGREEN WAY STE 5
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-2063
Practice Address - Country:US
Practice Address - Phone:360-335-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61080500183500000X
OR0018053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist