Provider Demographics
NPI:1619207503
Name:YU-LEE, SHINYOUNG YVONNE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SHINYOUNG
Middle Name:YVONNE
Last Name:YU-LEE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:YVONNE
Other - Middle Name:S
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:4105 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059
Mailing Address - Country:US
Mailing Address - Phone:425-207-1278
Mailing Address - Fax:
Practice Address - Street 1:4105 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-5012
Practice Address - Country:US
Practice Address - Phone:425-207-1278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist