Provider Demographics
NPI:1093000630
Name:NOVIK, EMILY O (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:O
Last Name:NOVIK
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 1:1272 TOWN AND COUNTRY CROSSING DR
Mailing Address - Street 2:T-1952
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-0605
Mailing Address - Country:US
Mailing Address - Phone:636-591-0235
Mailing Address - Fax:636-591-0245
Practice Address - Street 1:1272 TOWN AND COUNTRY CROSSING DR
Practice Address - Street 2:T-1952
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-0605
Practice Address - Country:US
Practice Address - Phone:636-591-0235
Practice Address - Fax:636-591-0245
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006026106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist