Healthcare Provider Details

I. General information

NPI: 1578024089
Provider Name (Legal Business Name): ANDREW YABUSAKI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N CECIL RD
POST FALLS ID
83854-6200
US

IV. Provider business mailing address

2186 CASCADE AVE
RICHLAND WA
99354-1806
US

V. Phone/Fax

Practice location:
  • Phone: 208-262-2800
  • Fax:
Mailing address:
  • Phone: 509-521-2885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH6085810
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: