Provider Demographics
NPI:1720505670
Name:MUI, STEPHANIE YING (RPH)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:YING
Last Name:MUI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1203
Mailing Address - Country:US
Mailing Address - Phone:781-363-2217
Mailing Address - Fax:
Practice Address - Street 1:897 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2322
Practice Address - Country:US
Practice Address - Phone:781-665-1329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist