Provider Demographics
NPI:1306844782
Name:YAHL, VINCENT LEE (PHARM D, BCPS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:LEE
Last Name:YAHL
Suffix:
Gender:M
Credentials:PHARM D, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 MOHICAN TRL
Mailing Address - Street 2:
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-7301
Mailing Address - Country:US
Mailing Address - Phone:419-236-0150
Mailing Address - Fax:419-226-9866
Practice Address - Street 1:730 W MARKET ST
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4602
Practice Address - Country:US
Practice Address - Phone:419-226-9628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-227711835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy