Provider Demographics
NPI:1225514029
Name:EMMINGER, PAMELA KAY (RPH)
Entity Type:Individual
Prefix:MISS
First Name:PAMELA
Middle Name:KAY
Last Name:EMMINGER
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 1:316 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-2264
Mailing Address - Country:US
Mailing Address - Phone:724-548-5500
Mailing Address - Fax:724-548-5544
Practice Address - Street 1:316 1ST AVE
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-2264
Practice Address - Country:US
Practice Address - Phone:724-548-5500
Practice Address - Fax:724-548-5544
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-15
Last Update Date:2018-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034119L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist