Provider Demographics
NPI:1215009667
Name:YAHYAVI, ABDUL (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:
Last Name:YAHYAVI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 W PUEBLO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3892
Mailing Address - Country:US
Mailing Address - Phone:805-682-7353
Mailing Address - Fax:
Practice Address - Street 1:1624 LA CORONILLA DRIVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1718
Practice Address - Country:US
Practice Address - Phone:805-682-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist