Provider Demographics
NPI:1659693588
Name:YEAGER, ANITA JOY (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:JOY
Last Name:YEAGER
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 1:1330 HIGHWAY 231 S
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3067
Mailing Address - Country:US
Mailing Address - Phone:334-670-5453
Mailing Address - Fax:334-670-5338
Practice Address - Street 1:1330 HIGHWAY 231 S
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3067
Practice Address - Country:US
Practice Address - Phone:334-670-5453
Practice Address - Fax:334-670-5338
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH019786183500000X
AL15443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist