Provider Demographics
NPI:1912780610
Name:Y&M WELLNESS LLC
Entity Type:Organization
Organization Name:Y&M WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THU (MICHELLE)
Authorized Official - Middle Name:T
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:408-892-7695
Mailing Address - Street 1:3080 S NEEDLES HWY STE 1800
Mailing Address - Street 2:
Mailing Address - City:LAUGHLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89029-0894
Mailing Address - Country:US
Mailing Address - Phone:702-709-5300
Mailing Address - Fax:702-709-5303
Practice Address - Street 1:3080 S NEEDLES HWY STE 1800
Practice Address - Street 2:
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029-0894
Practice Address - Country:US
Practice Address - Phone:702-709-5300
Practice Address - Fax:702-709-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical Laboratory