Provider Demographics
NPI:1801184361
Name:YEAGER, JOSEPH E (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:YEAGER
Suffix:
Gender:M
Credentials:RPH
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Other - Credentials:
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:2929 STUARTS DRAFT HWY SUITE 101
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477-0791
Mailing Address - Country:US
Mailing Address - Phone:540-337-3776
Mailing Address - Fax:540-337-2795
Practice Address - Street 1:2929 STUARTS DRAFT HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477-2753
Practice Address - Country:US
Practice Address - Phone:540-337-3776
Practice Address - Fax:540-337-2795
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0202005542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist