Provider Demographics
NPI:1003029711
Name:YIK, SIMONE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SIMONE
Middle Name:
Last Name:YIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51335 HARRISON ST
Mailing Address - Street 2:SUITE 116
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236-1547
Mailing Address - Country:US
Mailing Address - Phone:760-398-8866
Mailing Address - Fax:760-398-9966
Practice Address - Street 1:51335 HARRISON ST
Practice Address - Street 2:SUITE 116
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-1547
Practice Address - Country:US
Practice Address - Phone:760-398-8866
Practice Address - Fax:760-398-9966
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 56531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist