Provider Demographics
NPI:1538513437
Name:YE, JUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JUN
Middle Name:
Last Name:YE
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 1:3 HUDSON AVE
Mailing Address - Street 2:PO BOX 147
Mailing Address - City:GUILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04443-6300
Mailing Address - Country:US
Mailing Address - Phone:207-876-2788
Mailing Address - Fax:
Practice Address - Street 1:3 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:ME
Practice Address - Zip Code:04443-6300
Practice Address - Country:US
Practice Address - Phone:207-876-2788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-17
Last Update Date:2016-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR45368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist