Provider Demographics
NPI:1477821239
Name:YOST, DAVID A (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:YOST
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 1:120 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1708
Mailing Address - Country:US
Mailing Address - Phone:513-398-5010
Mailing Address - Fax:513-459-7013
Practice Address - Street 1:120 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1708
Practice Address - Country:US
Practice Address - Phone:513-398-5010
Practice Address - Fax:513-459-7013
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03124345-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist