Provider Demographics
NPI:1144451030
Name:FORDE, YORONDA ARTECIAH (PHARMD, CPP)
Entity type:Individual
Prefix:
First Name:YORONDA
Middle Name:ARTECIAH
Last Name:FORDE
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 NC HWY 50
Mailing Address - Street 2:
Mailing Address - City:MAPLE HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28454-8153
Mailing Address - Country:US
Mailing Address - Phone:910-259-8880
Mailing Address - Fax:910-259-4144
Practice Address - Street 1:4811 NC HWY 50
Practice Address - Street 2:
Practice Address - City:MAPLE HILL
Practice Address - State:NC
Practice Address - Zip Code:28454-8153
Practice Address - Country:US
Practice Address - Phone:910-259-8880
Practice Address - Fax:910-258-4144
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist