Provider Demographics
NPI:1477074227
Name:YIM, RICHARD W (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:W
Last Name:YIM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MIDDLETON RD
Mailing Address - Street 2:CVS PHARMACY
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001
Mailing Address - Country:US
Mailing Address - Phone:646-321-7396
Mailing Address - Fax:
Practice Address - Street 1:1025 MIDDLETON RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2263
Practice Address - Country:US
Practice Address - Phone:646-321-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451341183500000X
MD24484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist