Provider Demographics
NPI:1770639049
Name:YANT, NEIL A (RPH)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:A
Last Name:YANT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-3860
Mailing Address - Country:US
Mailing Address - Phone:573-424-2439
Mailing Address - Fax:432-337-0310
Practice Address - Street 1:247 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-3860
Practice Address - Country:US
Practice Address - Phone:573-424-2439
Practice Address - Fax:432-337-0310
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43876183500000X
MOPH 027959183500000X
IN26011910183500000X
MA14889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist