Provider Demographics
NPI:1477966612
Name:LE, JULIE V (RPH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:V
Last Name:LE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20531 76TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-5166
Mailing Address - Country:US
Mailing Address - Phone:913-626-1393
Mailing Address - Fax:
Practice Address - Street 1:17226 SMOKEY POINT BLVD
Practice Address - Street 2:
Practice Address - City:ARTLINTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:913-626-1393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00059286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist