Provider Demographics
NPI:1770815912
Name:YEROIAN, DENISE A (RPH)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:A
Last Name:YEROIAN
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 1:4317 PALMER RD
Mailing Address - Street 2:
Mailing Address - City:MCGAHEYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22840-3332
Mailing Address - Country:US
Mailing Address - Phone:540-908-0100
Mailing Address - Fax:
Practice Address - Street 1:1835 E MARKET ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5101
Practice Address - Country:US
Practice Address - Phone:540-434-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20810183500000X
VA0202010910183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist