Provider Demographics
NPI:1609276989
Name:SEO, YOUJIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:YOUJIN
Middle Name:
Last Name:SEO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 SPRING MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3819
Mailing Address - Country:US
Mailing Address - Phone:702-247-1129
Mailing Address - Fax:702-247-1672
Practice Address - Street 1:7175 SPRING MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3819
Practice Address - Country:US
Practice Address - Phone:702-247-1129
Practice Address - Fax:702-247-1672
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist