Provider Demographics
NPI:1851669691
Name:TRILLANA, MYRNA YU (PHAMACIST)
Entity type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:YU
Last Name:TRILLANA
Suffix:
Gender:F
Credentials:PHAMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 W WHITTIER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4735
Mailing Address - Country:US
Mailing Address - Phone:323-694-2581
Mailing Address - Fax:323-694-2583
Practice Address - Street 1:833 W WHITTIER BLVD STE C
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4735
Practice Address - Country:US
Practice Address - Phone:323-694-2581
Practice Address - Fax:323-694-2583
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist