Provider Demographics
NPI:1558732834
Name:TRAN, JULIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:TRAN
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 1:5301 E COMMERCE WAY
Mailing Address - Street 2:#6104
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-3003
Mailing Address - Country:US
Mailing Address - Phone:619-806-5850
Mailing Address - Fax:
Practice Address - Street 1:755 RIVERPOINT CT
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-1654
Practice Address - Country:US
Practice Address - Phone:916-373-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist