Provider Demographics
NPI:1164054102
Name:KWUN, SIU YING (PHARM D)
Entity Type:Individual
Prefix:
First Name:SIU YING
Middle Name:
Last Name:KWUN
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 1:3450 CATAMARAN CT
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-4712
Mailing Address - Country:US
Mailing Address - Phone:209-658-3007
Mailing Address - Fax:
Practice Address - Street 1:3051 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-8400
Practice Address - Country:US
Practice Address - Phone:209-669-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA819773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy