MEDICARE: YOKES FOOD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHAR.CF.60619691	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2155616	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295100295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOKES FOOD INC

Provider Business Mailing Address
First Line	:	PO BOX 141268
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99214-1268
Country	:	US
Telephone Number	:	509-921-2292
Fax Number	:	509-343-1117

Provider Business Practice Location Address
First Line	:	1233 N LIBERTY LAKE RD
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-7518
Country	:	US
Telephone Number	:	501-922-0705
Fax Number	:	509-922-0042

Authorized Official
Title or Position	:	PHARMACY DIRECTOR, PIC, AO
Name	:	LINDSEY GALLOWAY
Credential	:	PHARMD
Telephone Number	:	509-921-2292

Provider Enumeration Date	:	12/02/2015
Last Update Date	:	02/14/2017

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Directions to “YOKES FOOD INC ” Practice Location

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