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NPI Code Detail

MEDICARE: RICHMOND WESLEY YAWN RPH

MEDICARE: RICHMOND WESLEY YAWN RPH
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
1183500000XPharmacistE-05802MS

General Provider Information

NPI Number : 1497768253
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHMOND WESLEY YAWN RPH
Provider Business Mailing Address
First Line : 1641 CLEARVIEW CIR
Second Line :
City : COLUMBIA
State : MS
Zip : 39429-3230
Country : US
Telephone Number : 601-736-4773
Fax Number : 601-736-4773
Provider Business Practice Location Address
First Line : 1201 HIGHWAY 13 N
Second Line :
City : COLUMBIA
State : MS
Zip : 39429-2015
Country : US
Telephone Number : 601-736-1514
Fax Number : 601-736-1514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 05/20/2010

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Directions to “ RICHMOND WESLEY YAWN RPH” Practice Location

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