Provider Demographics
NPI:1407319338
Name:YOCUMS PHARMACY 2 INC
Entity Type:Organization
Organization Name:YOCUMS PHARMACY 2 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:H
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-725-0081
Mailing Address - Street 1:PO BOX 855
Mailing Address - Street 2:
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-0855
Mailing Address - Country:US
Mailing Address - Phone:802-725-0081
Mailing Address - Fax:
Practice Address - Street 1:1090 N CHURCH ST STE C
Practice Address - Street 2:
Practice Address - City:HAZLE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18202-1480
Practice Address - Country:US
Practice Address - Phone:570-454-1135
Practice Address - Fax:570-454-6097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy