Provider Demographics
NPI:1598396079
Name:YANCEYS DRUGS INC
Entity Type:Organization
Organization Name:YANCEYS DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-728-4195
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-0120
Mailing Address - Country:US
Mailing Address - Phone:318-728-4195
Mailing Address - Fax:318-728-3215
Practice Address - Street 1:103 CHRISTIAN DR
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-3658
Practice Address - Country:US
Practice Address - Phone:318-728-4195
Practice Address - Fax:318-728-3215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3336L0003X
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy