Healthcare Provider Details

I. General information

NPI: 1003540972
Provider Name (Legal Business Name): AMY YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FORBES AVE STE 100
PITTSBURGH PA
15222-1804
US

IV. Provider business mailing address

201 STANWIX ST APT 819
PITTSBURGH PA
15222-1351
US

V. Phone/Fax

Practice location:
  • Phone: 412-338-8614
  • Fax:
Mailing address:
  • Phone: 304-894-2499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP456795
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: