Provider Demographics
NPI:1295385847
Name:YUAN, YUE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:YUE
Middle Name:
Last Name:YUAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:YUAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:428 W SECRETARIAT DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1365
Mailing Address - Country:US
Mailing Address - Phone:480-206-0546
Mailing Address - Fax:
Practice Address - Street 1:11250 E VIA LINDA
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4072
Practice Address - Country:US
Practice Address - Phone:480-661-9963
Practice Address - Fax:480-661-2917
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS023735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist