Yackamouih, Ston Edgar

Yackamouih, Ston Edgar is an sole proprietor health care provider with primary practice located at 475 M St , Crescent City CA 95531-4129. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Yackamouih, Ston Edgar can be contacted via phone (707) 465-3663.

Contact Information

Primary practice address
475 M St Crescent City CA 95531-4129
Phone: (707) 465-3663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH23762 California

Profile Details

NPI number 1255617858
LBN Legal business name Yackamouih, Ston Edgar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2011
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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