Provider Demographics
NPI:1861574683
Name:YEE, QING-WEN L (PHARMACIST)
Entity type:Individual
Prefix:
First Name:QING-WEN
Middle Name:L
Last Name:YEE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:QING-WEN
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2532 MARSH WREN WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-8184
Mailing Address - Country:US
Mailing Address - Phone:916-688-2529
Mailing Address - Fax:
Practice Address - Street 1:6601 WYNDHAM DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-688-2529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist