MEDICARE: YI YANG 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	26025707A	IN

General Provider Information

NPI Number	:	1508307349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YI YANG PHARMD.

Provider Business Mailing Address
First Line	:	11059 TIMBERVIEW DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-8772
Country	:	US
Telephone Number	:	518-326-3276
Fax Number	:

Provider Business Practice Location Address
First Line	:	724 MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	IN
Zip	:	46975-1506
Country	:	US
Telephone Number	:	574-223-2216
Fax Number	:

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

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	03/13/2017

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Directions to “ YI YANG PHARMD.” Practice Location

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