Healthcare Provider Details

I. General information

NPI: 1851226641
Provider Name (Legal Business Name): YINGJIE GUO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 ROSEBANK WAY
MEBANE NC
27302-7867
US

IV. Provider business mailing address

2027 ROSEBANK WAY
MEBANE NC
27302-7867
US

V. Phone/Fax

Practice location:
  • Phone: 408-643-1999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34552
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: