Provider Demographics
NPI:1447678677
Name:SANCHEZ HUAMANI, YVAN (RPH)
Entity type:Individual
Prefix:MR
First Name:YVAN
Middle Name:
Last Name:SANCHEZ HUAMANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38112 TOWNVIEW AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-1312
Mailing Address - Country:US
Mailing Address - Phone:813-780-9719
Mailing Address - Fax:
Practice Address - Street 1:38112 TOWNVIEW AVE APT 102
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1312
Practice Address - Country:US
Practice Address - Phone:813-780-9719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist