Provider Demographics
NPI:1326393232
Name:MARRYSHOW, JULIA SERENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:SERENE
Last Name:MARRYSHOW
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 1:8750 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5452
Mailing Address - Country:US
Mailing Address - Phone:702-933-2315
Mailing Address - Fax:702-570-4120
Practice Address - Street 1:8750 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5452
Practice Address - Country:US
Practice Address - Phone:702-933-2315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist