Healthcare Provider Details

I. General information

NPI: 1851757249
Provider Name (Legal Business Name): CATHRYN YEUBANKS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W 6TH AVE
EL DORADO KS
67042-1934
US

IV. Provider business mailing address

119 W 6TH AVE
EL DORADO KS
67042-1934
US

V. Phone/Fax

Practice location:
  • Phone: 316-321-6700
  • Fax: 316-321-6710
Mailing address:
  • Phone: 316-321-6700
  • Fax: 316-321-6710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12364
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: