Provider Demographics
NPI:1083156251
Name:YUNGE, PAULINE F (RPH)
Entity Type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:F
Last Name:YUNGE
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 1:3374 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-6926
Mailing Address - Country:US
Mailing Address - Phone:916-933-6694
Mailing Address - Fax:
Practice Address - Street 1:3374 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-6926
Practice Address - Country:US
Practice Address - Phone:916-933-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-05
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist