Provider Demographics
NPI:1639622053
Name:TRAN, JULIANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIANN
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:PO BOX 1363
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92074-1363
Mailing Address - Country:US
Mailing Address - Phone:760-473-0561
Mailing Address - Fax:
Practice Address - Street 1:13425 COMMUNITY RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4723
Practice Address - Country:US
Practice Address - Phone:858-486-1801
Practice Address - Fax:858-486-1803
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49968183500000X
NV14010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist