Provider Demographics
NPI:1396011268
Name:YOUNG, PATRICIA SHARON (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:SHARON
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HIROMI LN
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-2478
Mailing Address - Country:US
Mailing Address - Phone:925-642-2503
Mailing Address - Fax:
Practice Address - Street 1:15 HIROMI LN
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-2478
Practice Address - Country:US
Practice Address - Phone:925-642-2503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH49827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist