Provider Demographics
NPI:1053606616
Name:YOROSE, SADAT KARIMU (PHARMD)
Entity type:Individual
Prefix:MR
First Name:SADAT
Middle Name:KARIMU
Last Name:YOROSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 W NOLANA AVE
Mailing Address - Street 2:T-2224
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4594
Mailing Address - Country:US
Mailing Address - Phone:956-618-7701
Mailing Address - Fax:956-618-7711
Practice Address - Street 1:3600 W NOLANA AVE
Practice Address - Street 2:T-2224
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4594
Practice Address - Country:US
Practice Address - Phone:956-618-7701
Practice Address - Fax:956-618-7711
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist