Provider Demographics
NPI:1013215920
Name:YAU, TAMMY TAM (RPH)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:TAM
Last Name:YAU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2070 SPYGLASS DR
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1046
Mailing Address - Country:US
Mailing Address - Phone:650-291-5659
Mailing Address - Fax:
Practice Address - Street 1:308 E PERKINS ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4505
Practice Address - Country:US
Practice Address - Phone:707-462-1265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist