Provider Demographics
NPI:1881386860
Name:YUN, GIA LEE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:GIA
Middle Name:LEE
Last Name:YUN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 W 31ST ST STE 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-0465
Mailing Address - Country:US
Mailing Address - Phone:929-928-2679
Mailing Address - Fax:
Practice Address - Street 1:383 W 31ST ST STE 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-0465
Practice Address - Country:US
Practice Address - Phone:929-928-2679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068587-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist