Healthcare Provider Details

I. General information

NPI: 1861129918
Provider Name (Legal Business Name): KIMBERLY ANNE LOUIE YEUNG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ANNE LOUIE

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 JACKSON ST
SAN FRANCISCO CA
94133-4851
US

IV. Provider business mailing address

68 SUMMIT WAY
SAN FRANCISCO CA
94132-2996
US

V. Phone/Fax

Practice location:
  • Phone: 415-677-2491
  • Fax:
Mailing address:
  • Phone: 415-200-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60399
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: