MEDICARE: NEIL A. YANT RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	43876	TX
2	183500000X	Pharmacist	PH 027959	MO
3	183500000X	Pharmacist	26011910	IN
4	183500000X	Pharmacist	14889	MA

General Provider Information

NPI Number	:	1770639049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL A. YANT RPH

Provider Business Mailing Address
First Line	:	247 OAK HILL DR
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028-3860
Country	:	US
Telephone Number	:	573-424-2439
Fax Number	:	432-337-0310

Provider Business Practice Location Address
First Line	:	247 OAK HILL DR
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028-3860
Country	:	US
Telephone Number	:	573-424-2439
Fax Number	:	432-337-0310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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Directions to “ NEIL A. YANT RPH” Practice Location

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