Provider Demographics
NPI:1205597663
Name:SAVAYA, YOULANDA
Entity type:Individual
Prefix:
First Name:YOULANDA
Middle Name:
Last Name:SAVAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5756 CLARKSTON RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4706
Mailing Address - Country:US
Mailing Address - Phone:248-620-2761
Mailing Address - Fax:
Practice Address - Street 1:5756 CLARKSTON RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MI
Practice Address - Zip Code:48348-4706
Practice Address - Country:US
Practice Address - Phone:248-620-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024132051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist