MEDICARE: MR. YEE-LAI CHIU 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	3923	SD

General Provider Information

NPI Number	:	1588708796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YEE-LAI CHIU R.PH.

Provider Business Mailing Address
First Line	:	1104 W RUSSELL ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-1323
Country	:	US
Telephone Number	:	605-338-9383
Fax Number	:	605-338-1693

Provider Business Practice Location Address
First Line	:	1104 W RUSSELL ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-1323
Country	:	US
Telephone Number	:	605-338-9383
Fax Number	:	605-338-1693

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	01/11/2008

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