MEDICARE: DARLA YORK PD

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	PD07468	AR

General Provider Information

NPI Number	:	1982263141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLA YORK PD

Provider Business Mailing Address
First Line	:	PO BOX 940
Second Line	:
City	:	SALEM
State	:	AR
Zip	:	72576-0940
Country	:	US
Telephone Number	:	870-895-7455
Fax Number	:	870-895-3784

Provider Business Practice Location Address
First Line	:	502 HIGHWAY 62 W
Second Line	:
City	:	SALEM
State	:	AR
Zip	:	72576-8400
Country	:	US
Telephone Number	:	870-895-7455
Fax Number	:	870-895-3784

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	06/11/2019

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Directions to “ DARLA YORK PD” Practice Location

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