Provider Demographics
NPI:1912082207
Name:YOKES FOOD INC
Entity Type:Organization
Organization Name:YOKES FOOD INC
Other - Org Name:YOKES PHARMACY 5
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:509-921-2292
Mailing Address - Street 1:YOKES PHARMACY
Mailing Address - Street 2:PO BOX 141268
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99206
Mailing Address - Country:US
Mailing Address - Phone:509-921-2292
Mailing Address - Fax:509-343-1117
Practice Address - Street 1:117 N HILL ST
Practice Address - Street 2:
Practice Address - City:KELLOGG
Practice Address - State:ID
Practice Address - Zip Code:83837-2224
Practice Address - Country:US
Practice Address - Phone:208-682-2127
Practice Address - Fax:208-682-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
ID2127RP3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2020341OtherPK
ID8076409Medicaid
ID002316600Medicaid
ID002316600Medicaid
1302291OtherOTHER ID NUMBER-COMMERCIAL NUMBER
ID002316600Medicaid