Provider Demographics
NPI:1790484384
Name:TORRES ALBIZU, JULIANNE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:MARIE
Last Name:TORRES ALBIZU
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 1:2160 S KINNICKINNIC AVE APT 616
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-1344
Mailing Address - Country:US
Mailing Address - Phone:414-614-3068
Mailing Address - Fax:
Practice Address - Street 1:320 W SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:WI
Practice Address - Zip Code:53183-9436
Practice Address - Country:US
Practice Address - Phone:262-968-6900
Practice Address - Fax:262-968-3714
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI22079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI22079-40OtherPHARMACIST