Healthcare Provider Details
I. General information
NPI: 1346459245
Provider Name (Legal Business Name): MICHELLE YEE PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 EL CAMINO REAL 3RD FLOOR INPATIENT PHARMACY
SOUTH SAN FRANCISCO CA
94080-3208
US
IV. Provider business mailing address
101 CRESCENT WAY #2111
SAN FRANCISCO CA
94134-3361
US
V. Phone/Fax
- Phone: 650-742-2486
- Fax:
- Phone: 415-657-3317
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RPH 53971 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: