MEDICARE: DR. CHRISTINE MARIE YARBROUGH PHARMD, 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
1	183500000X	Pharmacist	14291	AZ
2	183500000X	Pharmacist	5034	ND
3	183500000X	Pharmacist	17059	NV

General Provider Information

NPI Number	:	1972585503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MARIE YARBROUGH PHARMD, RPH

Provider Business Mailing Address
First Line	:	5538 SUN PRAIRIE ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4054
Country	:	US
Telephone Number	:	602-430-2355
Fax Number	:

Provider Business Practice Location Address
First Line	:	5538 SUN PRAIRIE ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4054
Country	:	US
Telephone Number	:	602-430-2355
Fax Number	:

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	07/08/2007

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