Provider Demographics
NPI:1427712942
Name:TIEU, JULIANNE HUYNH (PHARMD)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:HUYNH
Last Name:TIEU
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 1:288 106TH AVE NE UNIT 2003
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6782
Mailing Address - Country:US
Mailing Address - Phone:630-696-7032
Mailing Address - Fax:
Practice Address - Street 1:735 NW GILMAN BLVD
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8104
Practice Address - Country:US
Practice Address - Phone:425-507-1042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61187240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist