Provider Demographics
NPI:1760866859
Name:CHIU, YUNWEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:YUNWEN
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:WEN
Other - Middle Name:
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2960 CAMINO DIABLO
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3988
Mailing Address - Country:US
Mailing Address - Phone:415-458-2688
Mailing Address - Fax:
Practice Address - Street 1:2960 CAMINO DIABLO STE 105
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3945
Practice Address - Country:US
Practice Address - Phone:415-458-2688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68881183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist