Healthcare Provider Details

I. General information

NPI: 1942804299
Provider Name (Legal Business Name): JOYCE HIE HIE YII PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2020
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 MAIN ST
OCONTO WI
54153-1538
US

IV. Provider business mailing address

220 FRENCH ST
PESHTIGO WI
54157-1218
US

V. Phone/Fax

Practice location:
  • Phone: 920-834-4455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20532-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: