Provider Demographics
NPI:1730677576
Name:YEH, ALLAN (RPH)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6425
Mailing Address - Country:US
Mailing Address - Phone:575-223-0795
Mailing Address - Fax:575-446-0073
Practice Address - Street 1:1003 10TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6425
Practice Address - Country:US
Practice Address - Phone:505-620-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2019-10-10
Deactivation Date:2019-07-19
Deactivation Code:
Reactivation Date:2019-10-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy