Provider Demographics
NPI:1255866125
Name:GUYEVAYA, YULIYA (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:YULIYA
Middle Name:
Last Name:GUYEVAYA
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 1:5340 W KENNEDY BLVD UNIT 635
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2455
Mailing Address - Country:US
Mailing Address - Phone:818-571-1278
Mailing Address - Fax:
Practice Address - Street 1:5144 E BUSCH BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-5306
Practice Address - Country:US
Practice Address - Phone:727-871-5771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 547801835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist