Healthcare Provider Details

I. General information

NPI: 1700165677
Provider Name (Legal Business Name): MEGAN RENEE CAMPBELL YOST PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 STUARTS DRAFT HIGHWAY SUITE 101
STUARTS DRAFT VA
24477
US

IV. Provider business mailing address

2929 STUARTS DRAFT HIGHWAY SUITE 101
STUARTS DRAFT VA
24477
US

V. Phone/Fax

Practice location:
  • Phone: 540-337-3776
  • Fax: 540-337-9321
Mailing address:
  • Phone: 540-337-3776
  • Fax: 540-337-9321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202208070
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: