Provider Demographics
NPI:1831481597
Name:MOTLEY, YVONNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:
Last Name:MOTLEY
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 1:320 N ARENDELL AVENUE
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-2606
Mailing Address - Country:US
Mailing Address - Phone:919-269-5610
Mailing Address - Fax:919-269-5603
Practice Address - Street 1:320 N ARENDELL AVE
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2606
Practice Address - Country:US
Practice Address - Phone:919-269-5610
Practice Address - Fax:919-269-5603
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist