Provider Demographics
NPI:1255454302
Name:YOUNG, DAVID CHIKAO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHIKAO
Last Name:YOUNG
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 1:560 N 870 W
Mailing Address - Street 2:
Mailing Address - City:WEST BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84087-1961
Mailing Address - Country:US
Mailing Address - Phone:801-294-5520
Mailing Address - Fax:
Practice Address - Street 1:30 S 2000 E
Practice Address - Street 2:SKAGGS HALL ROOM 258
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5820
Practice Address - Country:US
Practice Address - Phone:801-581-8510
Practice Address - Fax:801-585-6160
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT96-330828-17011835P1200X
IDP51101835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy