Provider Demographics
NPI:1942673157
Name:YUE, LUCY S (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:S
Last Name:YUE
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 1:312 N EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1623
Mailing Address - Country:US
Mailing Address - Phone:714-870-1444
Mailing Address - Fax:714-870-1444
Practice Address - Street 1:312 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1623
Practice Address - Country:US
Practice Address - Phone:714-870-1444
Practice Address - Fax:714-870-1444
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist