Provider Demographics
NPI:1891313904
Name:LIM, CELY JANE YAP (RPH)
Entity Type:Individual
Prefix:
First Name:CELY JANE
Middle Name:YAP
Last Name:LIM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4104
Mailing Address - Country:US
Mailing Address - Phone:925-372-0945
Mailing Address - Fax:925-372-6516
Practice Address - Street 1:1165 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4104
Practice Address - Country:US
Practice Address - Phone:925-372-0945
Practice Address - Fax:925-372-6516
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist