Provider Demographics
NPI:1881296457
Name:YARRITU, DANIEL (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:YARRITU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4534 E US HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6308
Mailing Address - Country:US
Mailing Address - Phone:956-487-0711
Mailing Address - Fax:
Practice Address - Street 1:4534 E US HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6308
Practice Address - Country:US
Practice Address - Phone:956-487-0711
Practice Address - Fax:956-487-5370
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist