Provider Demographics
NPI:1871266460
Name:YAWNY, ALEX PAUL II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:PAUL
Last Name:YAWNY
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 BILLINGSLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1010
Mailing Address - Country:US
Mailing Address - Phone:724-984-9573
Mailing Address - Fax:
Practice Address - Street 1:4390 COLWICK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2395
Practice Address - Country:US
Practice Address - Phone:704-364-3444
Practice Address - Fax:704-364-1320
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456090183500000X
SC43143183500000X
NC30702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist