Healthcare Provider Details
I. General information
NPI: 1730789470
Provider Name (Legal Business Name): DONNA J YACHERA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/30/2020
Last Update Date: 10/30/2020
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 CHIPPEWA TOWN CTR
BEAVER FALLS PA
15010-1204
US
IV. Provider business mailing address
1001 ATLANTIC AVE
MONACA PA
15061-2017
US
V. Phone/Fax
- Phone: 724-843-1800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP040835L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: