Provider Demographics
NPI:1740214782
Name:YOKES FOOD INC
Entity Type:Organization
Organization Name:YOKES FOOD INC
Other - Org Name:YOKES PHARMACY 12
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:509-921-2292
Mailing Address - Street 1:YOKES PHARMACY
Mailing Address - Street 2:PO BOX 141268
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99206
Mailing Address - Country:US
Mailing Address - Phone:509-921-2292
Mailing Address - Fax:509-343-1117
Practice Address - Street 1:4905 N ROAD 68
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-8934
Practice Address - Country:US
Practice Address - Phone:509-545-4884
Practice Address - Fax:509-545-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
WAPHAR.CF.000575533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2108019OtherPK
WA6026595Medicaid
0698850007Medicare NSC