Provider Demographics
NPI:1083218762
Name:IP, WING YEE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:WING YEE
Middle Name:
Last Name:IP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:WING
Other - Middle Name:
Other - Last Name:IP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8005 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321
Mailing Address - Country:US
Mailing Address - Phone:219-836-2697
Mailing Address - Fax:
Practice Address - Street 1:8005 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321
Practice Address - Country:US
Practice Address - Phone:219-836-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.302424183500000X
IN26028315A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist