Provider Demographics
NPI:1407933476
Name:YIP, GOLDIE M (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:GOLDIE
Middle Name:M
Last Name:YIP
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 1:111 HUDSON BAY
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-7907
Mailing Address - Country:US
Mailing Address - Phone:510-752-6141
Mailing Address - Fax:510-752-6155
Practice Address - Street 1:3801 HOWE ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5312
Practice Address - Country:US
Practice Address - Phone:510-752-6141
Practice Address - Fax:510-752-6155
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43396183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist