Provider Demographics
NPI:1104299114
Name:LABRAM, YVONNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:LABRAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11291 CHATTERLY LOOP APT 301
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-7859
Mailing Address - Country:US
Mailing Address - Phone:484-550-8541
Mailing Address - Fax:
Practice Address - Street 1:15225 HEATHCOTE BLVD
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-6264
Practice Address - Country:US
Practice Address - Phone:571-284-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450137183500000X
VA0202220138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist