Provider Demographics
NPI:1780991539
Name:YEH, YEA-SHIN (PHARMACIST)
Entity type:Individual
Prefix:MISS
First Name:YEA-SHIN
Middle Name:
Last Name:YEH
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 W DEVONSHIRE AVE
Mailing Address - Street 2:APT A37
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-2361
Mailing Address - Country:US
Mailing Address - Phone:909-996-1366
Mailing Address - Fax:
Practice Address - Street 1:1605 S SAN JACINTO AVE
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-5181
Practice Address - Country:US
Practice Address - Phone:951-654-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64378183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist