Provider Demographics
NPI:1609276989
Name:SEO, YOUJIN (PHARMD)
Entity type:Individual
Prefix:
First Name:YOUJIN
Middle Name:
Last Name:SEO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist