Provider Demographics
NPI:1942722590
Name:HWANG, YU-YUAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:YU-YUAN
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16142 FOREST OAKS DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5502
Mailing Address - Country:US
Mailing Address - Phone:239-233-5357
Mailing Address - Fax:
Practice Address - Street 1:16142 FOREST OAKS DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-5502
Practice Address - Country:US
Practice Address - Phone:239-233-5357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist