Provider Demographics
NPI:1346368453
Name:YAKIM'S COMPOUNDING PHARMACY
Entity Type:Organization
Organization Name:YAKIM'S COMPOUNDING PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:YAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:412-372-3700
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:PITCAIRN
Mailing Address - State:PA
Mailing Address - Zip Code:15140-0173
Mailing Address - Country:US
Mailing Address - Phone:412-372-3700
Mailing Address - Fax:
Practice Address - Street 1:412 BROADWAY
Practice Address - Street 2:
Practice Address - City:PITCAIRN
Practice Address - State:PA
Practice Address - Zip Code:15140-1447
Practice Address - Country:US
Practice Address - Phone:412-372-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415490L3336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336C0004XSuppliersPharmacyCompounding Pharmacy