Healthcare Provider Details

I. General information

NPI: 1669019857
Provider Name (Legal Business Name): SARAH YOO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2019
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 STINE RD
BAKERSFIELD CA
93313-9504
US

IV. Provider business mailing address

4301 BELLE TER APT 82
BAKERSFIELD CA
93309-3987
US

V. Phone/Fax

Practice location:
  • Phone: 661-831-7386
  • Fax: 661-243-8896
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH81280
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: