MEDICARE: SCHUN YEH R.PH

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	5302028195	MI

General Provider Information

NPI Number	:	1356661763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHUN YEH R.PH

Provider Business Mailing Address
First Line	:	38591 ROSS ST
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48154-4838
Country	:	US
Telephone Number	:	734-464-7037
Fax Number	:

Provider Business Practice Location Address
First Line	:	33251 PLYMOUTH RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1738
Country	:	US
Telephone Number	:	734-425-9721
Fax Number	:

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

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	06/08/2010

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