Provider Demographics
NPI:1356938286
Name:KNOX, YVONNE (PHARMD)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:KNOX
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 1:229 RICHMOND POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-6601
Mailing Address - Country:US
Mailing Address - Phone:601-454-5698
Mailing Address - Fax:
Practice Address - Street 1:131 HANDLEY BLVD
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-8983
Practice Address - Country:US
Practice Address - Phone:769-237-4326
Practice Address - Fax:769-237-4325
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-09768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist