Healthcare Provider Details
I. General information
NPI: 1518029859
Provider Name (Legal Business Name): DENNIS E YEINGST RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/14/2006
Last Update Date: 02/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1180 WALNUT BOTTOM RD
CARLISLE PA
17015-9160
US
IV. Provider business mailing address
3 WHITE OAK CT
BOILING SPRINGS PA
17007-9419
US
V. Phone/Fax
- Phone: 717-243-2271
- Fax: 717-249-9326
- Phone: 717-448-2134
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP029729L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: