Provider Demographics
NPI:1629003199
Name:YUH, BENJAMIN BYUNG SIK (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:BYUNG SIK
Last Name:YUH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3637
Mailing Address - Country:US
Mailing Address - Phone:510-893-8841
Mailing Address - Fax:510-893-0663
Practice Address - Street 1:2844 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3637
Practice Address - Country:US
Practice Address - Phone:510-893-8841
Practice Address - Fax:510-893-0663
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH36896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH36896OtherREGISTERED PHARMACIST
CAPHY46970OtherPHARMACY PERMIT