Provider Demographics
NPI:1518202696
Name:SUNG YOON, HYERAN (RPH)
Entity Type:Individual
Prefix:
First Name:HYERAN
Middle Name:
Last Name:SUNG YOON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S RANCHO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3801
Mailing Address - Country:US
Mailing Address - Phone:702-471-7828
Mailing Address - Fax:702-471-7805
Practice Address - Street 1:901 S RANCHO DR STE 20
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3815
Practice Address - Country:US
Practice Address - Phone:702-471-7828
Practice Address - Fax:702-471-7805
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist