Provider Demographics
NPI:1851757249
Name:YEUBANKS, CATHRYN (RPH)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:
Last Name:YEUBANKS
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 1:119 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-1934
Mailing Address - Country:US
Mailing Address - Phone:316-321-6700
Mailing Address - Fax:316-321-6710
Practice Address - Street 1:119 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-1934
Practice Address - Country:US
Practice Address - Phone:316-321-6700
Practice Address - Fax:316-321-6710
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist