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NPI Code Detail

MEDICARE: PHILIP LIN YUAN PHARMD

MEDICARE: PHILIP LIN YUAN 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
1183500000XPharmacist26028019AIN

General Provider Information

NPI Number : 1598326688
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP LIN YUAN PHARMD
Provider Business Mailing Address
First Line : 2735 RALEIGH DR APT C
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-6786
Country : US
Telephone Number : 317-532-7618
Fax Number :
Provider Business Practice Location Address
First Line : 710 N SAINT JOSEPH AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47712-5557
Country : US
Telephone Number : 812-426-1180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2019
Last Update Date : 06/28/2019

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Directions to “ PHILIP LIN YUAN PHARMD” Practice Location

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