Provider Demographics
NPI:1134447691
Name:MUI, CHI YAN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:CHI YAN
Middle Name:
Last Name:MUI
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 1:1281 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2011
Mailing Address - Country:US
Mailing Address - Phone:718-398-2074
Mailing Address - Fax:718-398-3081
Practice Address - Street 1:1281 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2011
Practice Address - Country:US
Practice Address - Phone:718-398-2074
Practice Address - Fax:718-398-3081
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-08
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist