Provider Demographics
NPI:1083995625
Name:YANG, ZOUA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ZOUA
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6702 PENINSULA LN
Mailing Address - Street 2:
Mailing Address - City:RINGLE
Mailing Address - State:WI
Mailing Address - Zip Code:54471-9788
Mailing Address - Country:US
Mailing Address - Phone:715-701-0822
Mailing Address - Fax:
Practice Address - Street 1:101 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:MERRILL
Practice Address - State:WI
Practice Address - Zip Code:54452-1263
Practice Address - Country:US
Practice Address - Phone:715-539-0218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15650-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist