Provider Demographics
NPI:1326370651
Name:YUTZEY, AMY LYNN (PHARMD)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LYNN
Last Name:YUTZEY
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 1:5820 SHAFFER RD
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-3874
Mailing Address - Country:US
Mailing Address - Phone:814-375-6963
Mailing Address - Fax:814-375-6991
Practice Address - Street 1:5820 SHAFFER RD
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3874
Practice Address - Country:US
Practice Address - Phone:814-375-6963
Practice Address - Fax:814-375-6991
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist