Healthcare Provider Details

I. General information

NPI: 1598841736
Provider Name (Legal Business Name): YARBER DRUG STORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MAIN ST
BELMONT MS
38827
US

IV. Provider business mailing address

PO BOX 188
BELMONT MS
38827-0188
US

V. Phone/Fax

Practice location:
  • Phone: 662-454-3371
  • Fax: 662-454-7401
Mailing address:
  • Phone: 662-454-3371
  • Fax: 662-454-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number00802011
License Number StateMS

VIII. Authorized Official

Name: MR. ROBERT H YARBER
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 662-454-3371