MEDICARE: LAWRENCE YOST R.PH.

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	183500000X	Pharmacist	26015263A	IN

General Provider Information

NPI Number	:	1821343047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE YOST R.PH.

Provider Business Mailing Address
First Line	:	PO BOX 455
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03802-0455
Country	:	US
Telephone Number	:	603-969-5421
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 BUCKMINSTER WAY
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-5640
Country	:	US
Telephone Number	:	603-969-5421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2012
Last Update Date	:	07/14/2012

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