Clemmie Pat You, PHARMD
Individual provider Active NPI Pharmacist · Upland, CA
NPI 1710282108 · NPPES record last updated Jan 17, 2011
Key facts
- NPI
- 1710282108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 51860 (CA)
- Practice address
- 81 W Foothill Blvd
Upland, CA 91786-3846 - Phone
- (909) 981-1114
- Fax
- (909) 981-1373
- NPI assigned
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51860 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vons Companies Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51860 | CA | Yes |
Addresses
Primary practice location
81 W Foothill Blvd
Upland, CA 91786-3846
Mailing address
81 W Foothill Blvd
Upland, CA 91786-3846
Phone (909) 981-1114
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.