Provider Demographics
NPI:1922721000
Name:YINGLING, CAROL LYNNE
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LYNNE
Last Name:YINGLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6210
Mailing Address - Country:US
Mailing Address - Phone:501-327-8088
Mailing Address - Fax:501-450-7189
Practice Address - Street 1:2125 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6210
Practice Address - Country:US
Practice Address - Phone:501-327-8088
Practice Address - Fax:501-450-7189
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD07364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist