MEDICARE: YI YAO LING 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
1	183500000X	Pharmacist	PS35201	FL

General Provider Information

NPI Number	:	1790996841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YI YAO LING PHARM D

Provider Business Mailing Address
First Line	:	8139 S SAVANNAH CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-3033
Country	:	US
Telephone Number	:	954-882-5164
Fax Number	:

Provider Business Practice Location Address
First Line	:	8139 S SAVANNAH CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-3033
Country	:	US
Telephone Number	:	954-882-5164
Fax Number	:

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/08/2007

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