Healthcare Provider Details

I. General information

NPI: 1669145231
Provider Name (Legal Business Name): MEGAN YEE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 BILL DRAKE WAY
PACIFICA CA
94044-1802
US

IV. Provider business mailing address

145 MADRONE AVE
SAN FRANCISCO CA
94127-1317
US

V. Phone/Fax

Practice location:
  • Phone: 650-898-8221
  • Fax:
Mailing address:
  • Phone: 415-609-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number83745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: