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NPI Code Detail

MEDICARE: MS. TIFFANY KATHERINE YOUNG PHARM.D

MEDICARE: MS. TIFFANY KATHERINE YOUNG PHARM.D
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
1183500000XPharmacist69593CA

General Provider Information

NPI Number : 1437583101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIFFANY KATHERINE YOUNG PHARM.D
Provider Business Mailing Address
First Line : 738 15TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3507
Country : US
Telephone Number : 415-794-2926
Fax Number :
Provider Business Practice Location Address
First Line : 1899 FILLMORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3125
Country : US
Telephone Number : 415-771-4603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2013
Last Update Date : 08/29/2013

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