Healthcare Provider Details

I. General information

NPI: 1043985351
Provider Name (Legal Business Name): MS. YERI HAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 09/25/2022
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 GABRIEL LN
WARWICK PA
18974-6180
US

IV. Provider business mailing address

599 YORK RD
WARMINSTER PA
18974-4518
US

V. Phone/Fax

Practice location:
  • Phone: 267-255-8599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP457188
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: