Individual
YVONNE N LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 ROADRUNNER AVE, THOUSAND OAKS, CA 91320-6560
(626) 378-0517
Mailing address
1955 ROADRUNNER AVE, THOUSAND OAKS, CA 91320-6560
(626) 378-0517
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
47027
CA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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