Organization
YATES PHARMACY LLC
Active
Other names
Yates Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT YATES PHARMD (PRESIDENT/OWNER)
(270) 726-8451
Entity
Organization
Contact information
Practice address
432 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276-1284
(270) 726-8451
(270) 726-8696
Mailing address
432 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276-1284
(270) 726-8451
(270) 726-8696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07597
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142884
PK
—
05
—
7100262540
—
KY
Enumeration date
09/12/2013
Last updated
11/16/2016
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