Provider Demographics
NPI:1366228983
Name:YEE, MYA PWINTSHWE (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:MYA
Middle Name:PWINTSHWE
Last Name:YEE
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 1:223 BLACK HAWK CT
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5526
Mailing Address - Country:US
Mailing Address - Phone:610-506-7390
Mailing Address - Fax:
Practice Address - Street 1:3 S PENNELL RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5258
Practice Address - Country:US
Practice Address - Phone:610-506-7390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist