Provider Demographics
NPI:1528476066
Name:YUEN, WING TING (RPH)
Entity type:Individual
Prefix:
First Name:WING
Middle Name:TING
Last Name:YUEN
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 1:16502 MERIDIAN E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-2515
Mailing Address - Country:US
Mailing Address - Phone:253-446-1754
Mailing Address - Fax:253-446-1756
Practice Address - Street 1:16502 MERIDIAN E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-2515
Practice Address - Country:US
Practice Address - Phone:253-446-1754
Practice Address - Fax:253-446-1756
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist