Provider Demographics
NPI:1972825271
Name:PERSEO, CHRISTOPHER YOO YUNG KYOO (RPH, PHARM D)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:YOO YUNG KYOO
Last Name:PERSEO
Suffix:
Gender:M
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6981 NW 66TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1476
Mailing Address - Country:US
Mailing Address - Phone:954-864-7254
Mailing Address - Fax:
Practice Address - Street 1:5480 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4603
Practice Address - Country:US
Practice Address - Phone:954-344-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-28
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist