Healthcare Provider Details

I. General information

NPI: 1326315417
Provider Name (Legal Business Name): BRENDA L. YEE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 16TH AVE
SAN FRANCISCO CA
94118-2845
US

IV. Provider business mailing address

376 16TH AVE
SAN FRANCISCO CA
94118-2845
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-0196
  • Fax: 415-668-0196
Mailing address:
  • Phone: 415-668-0196
  • Fax: 415-668-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: