Provider Demographics
NPI:1447555156
Name:BENDER, YOLAN WALKER (RPH)
Entity type:Individual
Prefix:DR
First Name:YOLAN
Middle Name:WALKER
Last Name:BENDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 HUNTERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7920
Mailing Address - Country:US
Mailing Address - Phone:504-416-7210
Mailing Address - Fax:
Practice Address - Street 1:624 HUNTERBROOK DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7920
Practice Address - Country:US
Practice Address - Phone:504-416-7210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA19096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist