Provider Demographics
NPI:1144505579
Name:YOST, JOSEPH GEORGE III (BSC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:GEORGE
Last Name:YOST
Suffix:III
Gender:M
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 HAWKINS PEAK CT
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-7604
Mailing Address - Country:US
Mailing Address - Phone:775-782-9733
Mailing Address - Fax:
Practice Address - Street 1:1342 US HIGHWAY 395 N
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-5309
Practice Address - Country:US
Practice Address - Phone:775-782-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist