MEDICARE: JOANNA YOUNG 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	62207	TX

General Provider Information

NPI Number	:	1972099448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA YOUNG PHARMD

Provider Business Mailing Address
First Line	:	5303 HAMILTON WOLFE RD APT 502
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4362
Country	:	US
Telephone Number	:	502-403-8032
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 NAVARRO ST STE 1702
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-2507
Country	:	US
Telephone Number	:	210-271-1990
Fax Number	:

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

Provider Enumeration Date	:	07/07/2018
Last Update Date	:	07/07/2018

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Directions to “ JOANNA YOUNG PHARMD” Practice Location

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