Provider Demographics
NPI:1649497611
Name:PHILLIPS, YUKIO STRACHAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YUKIO
Middle Name:STRACHAN
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:YUKIO
Other - Middle Name:GRETCHEN
Other - Last Name:STRACHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6708 JAKE BARNES CT
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2975
Mailing Address - Country:US
Mailing Address - Phone:515-556-8598
Mailing Address - Fax:
Practice Address - Street 1:6708 JAKE BARNES CT
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2975
Practice Address - Country:US
Practice Address - Phone:515-556-8598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA190751835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy