Provider Demographics
NPI:1255350559
Name:YEARWOOD, HAROLD HAMPTON II (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HAMPTON
Last Name:YEARWOOD
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:HAMPTON
Other - Last Name:YEARWOOD
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:300 W VETERANS BLVD
Mailing Address - Street 2:ROOM 478
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-5566
Mailing Address - Country:US
Mailing Address - Phone:432-263-7361
Mailing Address - Fax:432-264-2882
Practice Address - Street 1:300 W VETERANS BLVD
Practice Address - Street 2:ROOM 478
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-5566
Practice Address - Country:US
Practice Address - Phone:432-263-7361
Practice Address - Fax:432-264-2882
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236531835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX23653OtherPHARMACIST LISCENSE NUMBER