Healthcare Provider Details

I. General information

NPI: 1760417018
Provider Name (Legal Business Name): YOKES FOOD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 BOMBING RANGE RD
WEST RICHLAND WA
99353-8001
US

IV. Provider business mailing address

PO BOX 141268 YOKES PHARMACY
SPOKANE WA
99206
US

V. Phone/Fax

Practice location:
  • Phone: 509-967-8008
  • Fax: 509-967-8096
Mailing address:
  • Phone: 509-921-2292
  • Fax: 509-343-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR.CF.000058578
License Number StateWA

VIII. Authorized Official

Name: LINDSEY GALLOWAY
Title or Position: PHARMACY DIRECTOR
Credential: PHARMD
Phone: 509-921-2292