Provider Demographics
NPI:1275810293
Name:ROCK, EMILY ANNA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANNA
Last Name:ROCK
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 1:932 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-4015
Mailing Address - Country:US
Mailing Address - Phone:360-457-4456
Mailing Address - Fax:360-457-4629
Practice Address - Street 1:932 E FRONT ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-4015
Practice Address - Country:US
Practice Address - Phone:360-457-4456
Practice Address - Fax:360-457-4629
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60176283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist