Provider Demographics
NPI:1811093099
Name:HUSBY, JULIE L (RPH)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:HUSBY
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:PO BOX 991
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:98252-8522
Mailing Address - Country:US
Mailing Address - Phone:360-691-7778
Mailing Address - Fax:360-691-4458
Practice Address - Street 1:115 N GRANITE AVE
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:WA
Practice Address - Zip Code:98252
Practice Address - Country:US
Practice Address - Phone:360-691-7778
Practice Address - Fax:360-691-4458
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist