Provider Demographics
NPI:1003937533
Name:GHEORGHIU, JULIANA JAMIRA (RPH)
Entity type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:JAMIRA
Last Name:GHEORGHIU
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 1:279 HODENCAMP RD
Mailing Address - Street 2:26
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5612
Mailing Address - Country:US
Mailing Address - Phone:805-557-0699
Mailing Address - Fax:
Practice Address - Street 1:279 HODENCAMP RD
Practice Address - Street 2:26
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5612
Practice Address - Country:US
Practice Address - Phone:805-557-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist