Provider Demographics
NPI:1144633082
Name:YOAKUM DISCOUNT PHARMACY
Entity type:Organization
Organization Name:YOAKUM DISCOUNT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:KRIS
Authorized Official - Last Name:SCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-741-7455
Mailing Address - Street 1:210 NELSON ST STE E
Mailing Address - Street 2:
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-2718
Mailing Address - Country:US
Mailing Address - Phone:361-741-7455
Mailing Address - Fax:361-741-7457
Practice Address - Street 1:1200 CARL RAMERT DR
Practice Address - Street 2:
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-4868
Practice Address - Country:US
Practice Address - Phone:361-741-7455
Practice Address - Fax:361-741-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy