Healthcare Provider Details

I. General information

NPI: 1588084412
Provider Name (Legal Business Name): EIZEL YAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 04/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 W PEORIA AVE
PHOENIX AZ
85029-4026
US

IV. Provider business mailing address

3560 W PEORIA AVE
PHOENIX AZ
85029-4026
US

V. Phone/Fax

Practice location:
  • Phone: 602-938-3400
  • Fax: 602-547-1905
Mailing address:
  • Phone: 602-938-3400
  • Fax: 602-547-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS016383
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: