Provider Demographics
NPI:1225120561
Name:YUEN, COURTNEY WAYNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:WAYNE
Last Name:YUEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:521 PARNASSUS AVE RM C-152
Mailing Address - Street 2:BOX 0622
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-353-1836
Mailing Address - Fax:415-353-1217
Practice Address - Street 1:521 PARNASSUS AVE RM C-152
Practice Address - Street 2:BOX 0622
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2206
Practice Address - Country:US
Practice Address - Phone:415-353-1836
Practice Address - Fax:415-353-1217
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARPH 445611835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy