Provider Demographics
NPI:1841507290
Name:PYO, CHRIS YOON I (CHRIS PYO)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:YOON
Last Name:PYO
Suffix:I
Gender:M
Credentials:CHRIS PYO
Other - Prefix:MR
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:PYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHRIS PYO
Mailing Address - Street 1:1642 VALLE DEL SOL
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7438
Mailing Address - Country:US
Mailing Address - Phone:909-213-3943
Mailing Address - Fax:
Practice Address - Street 1:42021 E FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-5016
Practice Address - Country:US
Practice Address - Phone:951-925-1651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH42337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist