Provider Demographics
NPI:1376811901
Name:YONKER, LAURA C (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:YONKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4497 MOBILE HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-4209
Mailing Address - Country:US
Mailing Address - Phone:850-453-4848
Mailing Address - Fax:850-453-4802
Practice Address - Street 1:4497 MOBILE HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-4209
Practice Address - Country:US
Practice Address - Phone:850-453-4848
Practice Address - Fax:850-453-4802
Is Sole Proprietor?:No
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL46226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist