Provider Demographics
NPI:1043572464
Name:YANG, LI-YIN (RPH)
Entity type:Individual
Prefix:
First Name:LI-YIN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3044
Mailing Address - Country:US
Mailing Address - Phone:425-259-6262
Mailing Address - Fax:425-258-1485
Practice Address - Street 1:2615 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3044
Practice Address - Country:US
Practice Address - Phone:425-259-6262
Practice Address - Fax:425-258-1485
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00017303183500000X
AZ9394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist