Provider Demographics
NPI:1700165677
Name:CAMPBELL YOST, MEGAN RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:RENEE
Last Name:CAMPBELL YOST
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2929 STUARTS DRAFT HIGHWAY SUITE 101
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477
Mailing Address - Country:US
Mailing Address - Phone:540-337-3776
Mailing Address - Fax:540-337-9321
Practice Address - Street 1:2929 STUARTS DRAFT HIGHWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477
Practice Address - Country:US
Practice Address - Phone:540-337-3776
Practice Address - Fax:540-337-9321
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist