Provider Demographics
NPI:1487859682
Name:YAWNY, ROSE MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:MARIE
Last Name:YAWNY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SPRING GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-3607
Mailing Address - Country:US
Mailing Address - Phone:724-872-3106
Mailing Address - Fax:
Practice Address - Street 1:5TH AND MCKEAN AVE
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022
Practice Address - Country:US
Practice Address - Phone:724-489-9334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039937L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist