Provider Demographics
NPI:1194339523
Name:YOXTHEIMER, TAMMY JUNE (PHARMD)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:JUNE
Last Name:YOXTHEIMER
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 1:28 WHISPER LN
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-6850
Mailing Address - Country:US
Mailing Address - Phone:304-965-3883
Mailing Address - Fax:
Practice Address - Street 1:221 CROSSINGS MALL RD
Practice Address - Street 2:
Practice Address - City:ELKVIEW
Practice Address - State:WV
Practice Address - Zip Code:25071-9230
Practice Address - Country:US
Practice Address - Phone:304-965-0460
Practice Address - Fax:304-965-6055
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist