Provider Demographics
NPI:1922853258
Name:YELEY, SUMMER C (PHARMD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:C
Last Name:YELEY
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 1:207 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1920
Mailing Address - Country:US
Mailing Address - Phone:617-254-0358
Mailing Address - Fax:
Practice Address - Street 1:207 MARKET ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1920
Practice Address - Country:US
Practice Address - Phone:617-254-0358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH241556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist