Provider Demographics
NPI:1639508419
Name:YDS PHARMACY CORPORATION
Entity Type:Organization
Organization Name:YDS PHARMACY CORPORATION
Other - Org Name:YOUR DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:760-843-7200
Mailing Address - Street 1:8237 ROCHESTER AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0717
Mailing Address - Country:US
Mailing Address - Phone:909-941-7472
Mailing Address - Fax:909-945-3575
Practice Address - Street 1:8237 ROCHESTER AVE STE 120
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0717
Practice Address - Country:US
Practice Address - Phone:909-941-7472
Practice Address - Fax:909-945-3575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy