Provider Demographics
NPI:1407462351
Name:YORKA, FEEFELOBARI PEACE (PHARMD)
Entity Type:Individual
Prefix:
First Name:FEEFELOBARI
Middle Name:PEACE
Last Name:YORKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12601 TECH RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-3451
Mailing Address - Country:US
Mailing Address - Phone:512-491-6051
Mailing Address - Fax:
Practice Address - Street 1:12601 TECH RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3451
Practice Address - Country:US
Practice Address - Phone:512-491-6051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist