Provider Demographics
NPI:1457633026
Name:YEAGER, DARRIN EDWARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:EDWARD
Last Name:YEAGER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 E IRLO BRONSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8724
Mailing Address - Country:US
Mailing Address - Phone:407-891-8371
Mailing Address - Fax:407-891-9579
Practice Address - Street 1:4905 E IRLO BRONSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8724
Practice Address - Country:US
Practice Address - Phone:321-674-1496
Practice Address - Fax:321-674-9969
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist