Provider Demographics
NPI:1659437648
Name:DONG, JULIE ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:DONG
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 1:2530 OAK RD #204
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3196
Mailing Address - Country:US
Mailing Address - Phone:415-307-6242
Mailing Address - Fax:
Practice Address - Street 1:521 PARNASSUS AVE
Practice Address - Street 2:UCSF DEPT. OF PHARMACEUTICAL SERVICES, C-152. BOX 0622
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2206
Practice Address - Country:US
Practice Address - Phone:415-307-6242
Practice Address - Fax:925-935-2389
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist