Healthcare Provider Details

I. General information

NPI: 1902417603
Provider Name (Legal Business Name): CHRISTOPHER YEE PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 STATION LNDG
MEDFORD MA
02155-5192
US

IV. Provider business mailing address

49 STATION LNDG
MEDFORD MA
02155-5192
US

V. Phone/Fax

Practice location:
  • Phone: 781-393-5693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH239016
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: