MEDICARE: MELODY YEUNG

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	RPH91555	CA

General Provider Information

NPI Number	:	1043172737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY YEUNG

Provider Business Mailing Address
First Line	:	6916 PENINSULA WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-6317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 E MAGNOLIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95202-1846
Country	:	US
Telephone Number	:	209-687-5490
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/02/2025

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Directions to “ MELODY YEUNG ” Practice Location

Language	Start Address	Practice Location

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