Provider Demographics
NPI:1114218211
Name:YEBRI, DAVID F (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:F
Last Name:YEBRI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 E. VENTURA BLV.
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:805-983-6344
Mailing Address - Fax:805-983-2090
Practice Address - Street 1:2001 E VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-1813
Practice Address - Country:US
Practice Address - Phone:805-983-6344
Practice Address - Fax:805-983-2090
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist