MEDICARE: YE HUO

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	S022785	AZ

General Provider Information

NPI Number	:	1275049926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YE HUO

Provider Business Mailing Address
First Line	:	3130 N HAYDEN RD APT 2015
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6778
Country	:	US
Telephone Number	:	520-743-6071
Fax Number	:

Provider Business Practice Location Address
First Line	:	6006 N 67TH AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85301-4902
Country	:	US
Telephone Number	:	623-939-7571
Fax Number	:

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

Provider Enumeration Date	:	12/18/2017
Last Update Date	:	12/18/2017

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Directions to “ YE HUO ” Practice Location

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