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NPI Code Detail

MEDICARE: DR. VINCENT LEE YAHL PHARM D, BCPS

MEDICARE: DR. VINCENT LEE YAHL PHARM D, BCPS
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
11835P1200XPharmacotherapy Pharmacist03-2-22771OH

General Provider Information

NPI Number : 1306844782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT LEE YAHL PHARM D, BCPS
Provider Business Mailing Address
First Line : 1304 MOHICAN TRL
Second Line :
City : WAPAKONETA
State : OH
Zip : 45895-7301
Country : US
Telephone Number : 419-236-0150
Fax Number : 419-226-9866
Provider Business Practice Location Address
First Line : 730 W MARKET ST
Second Line : ATTN: PHARMACY
City : LIMA
State : OH
Zip : 45801-4602
Country : US
Telephone Number : 419-226-9628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/08/2007

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