Provider Demographics
NPI:1427382977
Name:YIN, PAUL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:YIN
Suffix:
Gender:M
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 1:2300 MIDDLEFIELD RD
Mailing Address - Street 2:COSTCO PHARMACY #1042
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2854
Mailing Address - Country:US
Mailing Address - Phone:650-988-7160
Mailing Address - Fax:650-988-9784
Practice Address - Street 1:2300 MIDDLEFIELD RD
Practice Address - Street 2:COSTCO PHARMACY #1042
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2854
Practice Address - Country:US
Practice Address - Phone:650-988-7160
Practice Address - Fax:650-988-9784
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 37901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist