Provider Demographics
NPI:1972011518
Name:YOO, CRAIG K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:K
Last Name:YOO
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 1:1634 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4227
Mailing Address - Country:US
Mailing Address - Phone:213-341-1411
Mailing Address - Fax:213-395-0711
Practice Address - Street 1:1634 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-4227
Practice Address - Country:US
Practice Address - Phone:213-341-1411
Practice Address - Fax:213-395-0711
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist