Provider Demographics
NPI:1821209271
Name:BARBARA YUH
Entity Type:Organization
Organization Name:BARBARA YUH
Other - Org Name:NICHOLS HILL PRESCRIPTION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARM TECH/AO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YUH
Authorized Official - Suffix:
Authorized Official - Credentials:TCH
Authorized Official - Phone:510-893-8841
Mailing Address - Street 1:2844 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3637
Mailing Address - Country:US
Mailing Address - Phone:510-893-8841
Mailing Address - Fax:510-893-0663
Practice Address - Street 1:2844 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3637
Practice Address - Country:US
Practice Address - Phone:510-893-8841
Practice Address - Fax:510-893-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CA538673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA469700Medicaid
2160779OtherPK
14861026Medicare PIN