Provider Demographics
NPI:1588725113
Name:YU, JANNIE C (PHARMD)
Entity type:Individual
Prefix:
First Name:JANNIE
Middle Name:C
Last Name:YU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JANNIE
Other - Middle Name:CHIEH-YI
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9961 SIERRA AVE.
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335
Mailing Address - Country:US
Mailing Address - Phone:909-427-4947
Mailing Address - Fax:909-427-5452
Practice Address - Street 1:9961 SIERRA AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6720
Practice Address - Country:US
Practice Address - Phone:909-427-4947
Practice Address - Fax:909-427-5452
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572601835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology