Provider Demographics
NPI:1427676360
Name:CALLAHAN, LILI YANG (PHARMD)
Entity type:Individual
Prefix:
First Name:LILI
Middle Name:YANG
Last Name:CALLAHAN
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 1:8277 BELLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0358
Mailing Address - Country:US
Mailing Address - Phone:214-291-5087
Mailing Address - Fax:
Practice Address - Street 1:8277 BELLEVIEW DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0358
Practice Address - Country:US
Practice Address - Phone:214-291-5087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX044473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist