Provider Demographics
NPI:1174908750
Name:SUI, YANAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YANAN
Middle Name:
Last Name:SUI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:647 VFW PKWY
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:156 BRITTANY MNR
Practice Address - Street 2:APT C
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-3650
Practice Address - Country:US
Practice Address - Phone:617-513-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist