Provider Demographics
NPI:1194046664
Name:YUEN, ANNIE L (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:L
Last Name:YUEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 TERRA LN
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8140
Mailing Address - Country:US
Mailing Address - Phone:626-574-0663
Mailing Address - Fax:626-574-7651
Practice Address - Street 1:3745 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-2202
Practice Address - Country:US
Practice Address - Phone:626-351-0515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist