MEDICARE: JENNIFER YEUNG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	68366	CA

General Provider Information

NPI Number	:	1013258466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER YEUNG PHARMD

Provider Business Mailing Address
First Line	:	26531 ALISO CREEK RD
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2882
Country	:	US
Telephone Number	:	949-448-0082
Fax Number	:

Provider Business Practice Location Address
First Line	:	26531 ALISO CREEK RD
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2882
Country	:	US
Telephone Number	:	949-448-0082
Fax Number	:	949-448-0937

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	03/11/2013

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