Provider Demographics
NPI:1770083206
Name:YFCC GROUP LLC
Entity type:Organization
Organization Name:YFCC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:DUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-650-0958
Mailing Address - Street 1:351 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1112
Mailing Address - Country:US
Mailing Address - Phone:718-650-0958
Mailing Address - Fax:
Practice Address - Street 1:2124A STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3332
Practice Address - Country:US
Practice Address - Phone:732-248-9322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336L0003X
NJ28RS007600303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy