Provider Demographics
NPI:1124277025
Name:YOCOM, CHRISTOPHER B (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:YOCOM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 LIMITED WAY NW
Mailing Address - Street 2:SEA MAR PHARMACY
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502
Mailing Address - Country:US
Mailing Address - Phone:360-704-7575
Mailing Address - Fax:360-704-7579
Practice Address - Street 1:3030 LIMITED WAY NW
Practice Address - Street 2:SEA MAR PHARMACY
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502
Practice Address - Country:US
Practice Address - Phone:360-704-7575
Practice Address - Fax:360-704-7579
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60028038183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist