Healthcare Provider Details

I. General information

NPI: 1255350559
Provider Name (Legal Business Name): HAROLD HAMPTON YEARWOOD II PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: H. HAMPTON YEARWOOD II PHARMD

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W VETERANS BLVD ROOM 478
BIG SPRING TX
79720-5566
US

IV. Provider business mailing address

300 W VETERANS BLVD ROOM 478
BIG SPRING TX
79720-5566
US

V. Phone/Fax

Practice location:
  • Phone: 432-263-7361
  • Fax: 432-264-2882
Mailing address:
  • Phone: 432-263-7361
  • Fax: 432-264-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number23653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: