Provider Demographics
NPI:1083911481
Name:BYRD, EMILY GIVENS (PHARMD BCMTM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GIVENS
Last Name:BYRD
Suffix:
Gender:F
Credentials:PHARMD BCMTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NC
Mailing Address - Zip Code:28421
Mailing Address - Country:US
Mailing Address - Phone:910-283-5400
Mailing Address - Fax:910-283-7338
Practice Address - Street 1:124 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NC
Practice Address - Zip Code:28421-2842
Practice Address - Country:US
Practice Address - Phone:910-283-5400
Practice Address - Fax:910-283-7338
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13108183500000X
NC23859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist