Provider Demographics
NPI:1659650661
Name:YU, AMANDA Y (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:Y
Last Name:YU
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 1:3320 S 23RD ST
Mailing Address - Street 2:T0341
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1603
Mailing Address - Country:US
Mailing Address - Phone:253-627-2112
Mailing Address - Fax:
Practice Address - Street 1:3320 S 23RD ST
Practice Address - Street 2:T0341
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1603
Practice Address - Country:US
Practice Address - Phone:253-627-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60230130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist