Healthcare Provider Details

I. General information

NPI: 1932986635
Provider Name (Legal Business Name): VIRGINIA YEE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N TUSTIN AVE
SANTA ANA CA
92705-3612
US

IV. Provider business mailing address

1867 VIRGINIA RD
SAN MARINO CA
91108-2517
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-3949
  • Fax:
Mailing address:
  • Phone: 626-676-5974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: