Provider Demographics
NPI:1437399136
Name:YAEGER, JOHN R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:YAEGER
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 1:21 W CLARKE AVE
Mailing Address - Street 2:BAYHEALTH MEDICAL CENTER-PHARMACY
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1840
Mailing Address - Country:US
Mailing Address - Phone:302-430-5662
Mailing Address - Fax:302-430-5514
Practice Address - Street 1:21 W CLARKE AVE
Practice Address - Street 2:BAYHEALTH MEDICAL CENTER-PHARMACY
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1840
Practice Address - Country:US
Practice Address - Phone:302-430-5662
Practice Address - Fax:302-430-5514
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE19901835P0018X
NJ28RI017760001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist