Healthcare Provider Details

I. General information

NPI: 1619578531
Provider Name (Legal Business Name): JAMES ROBERT YEE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2020
Last Update Date: 11/06/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11464 S FORTUNA RD
YUMA AZ
85367-5618
US

IV. Provider business mailing address

733 TOPACIO DR
MONTEREY PARK CA
91754-2319
US

V. Phone/Fax

Practice location:
  • Phone: 928-343-3433
  • Fax:
Mailing address:
  • Phone: 323-821-1806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS024300
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: