MEDICARE: KING YEE LAW PHARMD

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	183500000X	Pharmacist	68100	CA

General Provider Information

NPI Number	:	1225406341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KING YEE LAW PHARMD

Provider Business Mailing Address
First Line	:	3131 CAMINO DEL RIO N
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-5701
Country	:	US
Telephone Number	:	858-380-7907
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 CAMINO DEL RIO N
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-5701
Country	:	US
Telephone Number	:	800-711-4555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	09/15/2015

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