Provider Demographics
NPI:1558661371
Name:YANG, HAILAN (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:HAILAN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17140 NE 46TH CT
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5255
Mailing Address - Country:US
Mailing Address - Phone:410-419-9349
Mailing Address - Fax:425-868-2657
Practice Address - Street 1:630 228TH AVE NE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7241
Practice Address - Country:US
Practice Address - Phone:425-868-6181
Practice Address - Fax:425-868-2657
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60095644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist