Provider Demographics
NPI:1275321812
Name:MAYROO-YANG, NALINI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NALINI
Middle Name:
Last Name:MAYROO-YANG
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3741 DEATON TRL
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-1111
Mailing Address - Country:US
Mailing Address - Phone:843-343-7515
Mailing Address - Fax:
Practice Address - Street 1:3741 DEATON TRL
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-1111
Practice Address - Country:US
Practice Address - Phone:843-343-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARP034019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist