Provider Demographics
NPI:1194754119
Name:YOKES FOOD INC
Entity type:Organization
Organization Name:YOKES FOOD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:PO BOX 141268
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99214-1268
Mailing Address - Country:US
Mailing Address - Phone:509-921-2292
Mailing Address - Fax:509-343-1117
Practice Address - Street 1:3801 S RESERVE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7322
Practice Address - Country:US
Practice Address - Phone:406-251-5415
Practice Address - Fax:406-251-8663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT28281333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1194754119Medicaid
2150150OtherPK
2706337OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MTPHC015Medicare PIN
MTP00229889Medicare PIN
MT0237520579Medicare NSC