Provider Demographics
NPI:1154476448
Name:YEOMANS, ANNE E (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:E
Last Name:YEOMANS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LANTERN HILL LN
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2066
Mailing Address - Country:US
Mailing Address - Phone:203-458-8134
Mailing Address - Fax:203-467-5455
Practice Address - Street 1:875 FOXON RD
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-1837
Practice Address - Country:US
Practice Address - Phone:203-467-2600
Practice Address - Fax:203-467-5455
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist