Provider Demographics
NPI:1689630428
Name:LOW, YEE WON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YEE WON
Middle Name:
Last Name:LOW
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 1:407 CAMELOT CT
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-2536
Mailing Address - Country:US
Mailing Address - Phone:585-919-9144
Mailing Address - Fax:
Practice Address - Street 1:345 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-2206
Practice Address - Country:US
Practice Address - Phone:585-394-1595
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist