Provider Demographics
NPI:1528411469
Name:GUYOT, JOHN KYLE (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:KYLE
Last Name:GUYOT
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-1518
Mailing Address - Country:US
Mailing Address - Phone:509-731-7962
Mailing Address - Fax:
Practice Address - Street 1:5606 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3038
Practice Address - Country:US
Practice Address - Phone:509-965-2037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60516890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist