Provider Demographics
NPI:1043930977
Name:YARBROUGH, LADONIS DEKEMBEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LADONIS
Middle Name:DEKEMBEL
Last Name:YARBROUGH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 WYNNTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-2184
Mailing Address - Country:US
Mailing Address - Phone:706-327-6181
Mailing Address - Fax:
Practice Address - Street 1:2510 WYNNTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2184
Practice Address - Country:US
Practice Address - Phone:706-327-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032811183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist