Provider Demographics
NPI:1043786957
Name:NGUGI, YVONNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:NGUGI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:NGUGI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:104 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GOLDENDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98620-9589
Mailing Address - Country:US
Mailing Address - Phone:509-773-4344
Mailing Address - Fax:509-773-4555
Practice Address - Street 1:104 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GOLDENDALE
Practice Address - State:WA
Practice Address - Zip Code:98620-9589
Practice Address - Country:US
Practice Address - Phone:509-773-4344
Practice Address - Fax:509-773-4555
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2022-09-29
Deactivation Date:2022-09-20
Deactivation Code:
Reactivation Date:2022-09-29
Provider Licenses
StateLicense IDTaxonomies
MAPH236470183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist