Provider Demographics
NPI:1558645135
Name:YAHNKE, TAMI (RPH)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:YAHNKE
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 1:1339 N DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-1988
Mailing Address - Country:US
Mailing Address - Phone:831-751-0414
Mailing Address - Fax:831-751-0435
Practice Address - Street 1:1339 N DAVIS RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-1988
Practice Address - Country:US
Practice Address - Phone:831-751-0414
Practice Address - Fax:831-751-0435
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist