Provider Demographics
NPI:1548426612
Name:COOLMAN, JULIA LORRAINE NG (RPH)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:LORRAINE NG
Last Name:COOLMAN
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 1:1815 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6856
Mailing Address - Country:US
Mailing Address - Phone:206-547-1208
Mailing Address - Fax:206-547-9751
Practice Address - Street 1:1815 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6856
Practice Address - Country:US
Practice Address - Phone:206-547-1208
Practice Address - Fax:206-547-9751
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60027010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist