Provider Demographics
NPI:1851541668
Name:DRABIK, YENNGA T (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:YENNGA
Middle Name:T
Last Name:DRABIK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4625
Mailing Address - Country:US
Mailing Address - Phone:716-608-2021
Mailing Address - Fax:716-608-2021
Practice Address - Street 1:4920 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4625
Practice Address - Country:US
Practice Address - Phone:716-608-2021
Practice Address - Fax:716-608-2021
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052526-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02832704Medicaid