Provider Demographics
NPI:1740559970
Name:YATES, HEATH A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATH
Middle Name:A
Last Name:YATES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12955 COLLIER BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-4001
Mailing Address - Country:US
Mailing Address - Phone:239-687-3340
Mailing Address - Fax:239-304-1812
Practice Address - Street 1:12955 COLLIER BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-4001
Practice Address - Country:US
Practice Address - Phone:239-687-3340
Practice Address - Fax:239-304-1812
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist