Provider Demographics
NPI:1417636721
Name:SHEN, YUQIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YUQIN
Middle Name:
Last Name:SHEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SOPHIE
Other - Middle Name:
Other - Last Name:SHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1795 2ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-1704
Mailing Address - Country:US
Mailing Address - Phone:831-332-1827
Mailing Address - Fax:
Practice Address - Street 1:1795 2ND ST STE B
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-1704
Practice Address - Country:US
Practice Address - Phone:831-332-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist