Healthcare Provider Details

I. General information

NPI: 1427340033
Provider Name (Legal Business Name): KA YIN ROSITA YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2011
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LAKEWAY DR
BELLINGHAM WA
98229-6283
US

IV. Provider business mailing address

800 LAKEWAY DR
BELLINGHAM WA
98229-6283
US

V. Phone/Fax

Practice location:
  • Phone: 360-676-1105
  • Fax:
Mailing address:
  • Phone: 360-676-1105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00043164
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: