Provider Demographics
NPI:1598841736
Name:YARBER DRUG STORE INC
Entity Type:Organization
Organization Name:YARBER DRUG STORE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:YARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-454-3371
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MS
Mailing Address - Zip Code:38827-0188
Mailing Address - Country:US
Mailing Address - Phone:662-454-3371
Mailing Address - Fax:662-454-7401
Practice Address - Street 1:85 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MS
Practice Address - Zip Code:38827
Practice Address - Country:US
Practice Address - Phone:662-454-3371
Practice Address - Fax:662-454-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS00802011332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0969780001Medicare ID - Type Unspecified