Individual
LEANN MARIE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
100 CHASE STREET, CLINTWOOD, VA 24228
(276) 926-6002
Mailing address
PO BOX 1844, CLINTWOOD, VA 24228-1844
(276) 296-6002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206687
VA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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