Provider Demographics
NPI:1114563947
Name:YABUT, JULIUS ORACION (RPH)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:ORACION
Last Name:YABUT
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 1:31 E LONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-4713
Mailing Address - Country:US
Mailing Address - Phone:248-879-6716
Mailing Address - Fax:248-879-7040
Practice Address - Street 1:31 E LONG LAKE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-4713
Practice Address - Country:US
Practice Address - Phone:248-879-6716
Practice Address - Fax:248-879-7040
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist