Healthcare Provider Details
I. General information
NPI: 1033450374
Provider Name (Legal Business Name): YEUNG BUSINESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2013
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 MAIN ST S
SOUTHBURY CT
06488-4250
US
IV. Provider business mailing address
200 MAIN ST S
SOUTHBURY CT
06488-4250
US
V. Phone/Fax
- Phone: 203-262-8000
- Fax:
- Phone: 203-262-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JACK
YEUNG
Title or Position: PHARMACY MANAGER/PRESIDENT
Credential:
Phone: 646-573-6168