MEDICARE: Y&Y DISCOUNT PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134114879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y&Y DISCOUNT PHARMACY

Provider Business Mailing Address
First Line	:	14618 VICTORY BLVD
Second Line	:	UNIT B
City	:	VAN NUYS
State	:	CA
Zip	:	91411-1621
Country	:	US
Telephone Number	:	818-376-8316
Fax Number	:	818-376-1581

Provider Business Practice Location Address
First Line	:	14618 VICTORY BLVD
Second Line	:	UNIT B
City	:	VAN NUYS
State	:	CA
Zip	:	91411-1621
Country	:	US
Telephone Number	:	818-376-8316
Fax Number	:	818-376-1581

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. YELENA SLYUSARANSKAYA
Credential	:	RPH
Telephone Number	:	818-376-8316

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	08/30/2023

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Directions to “Y&Y DISCOUNT PHARMACY ” Practice Location

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