Provider Demographics
NPI:1386863678
Name:EMMING-ESCHBACHER, VALERIE J (PHARMD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:EMMING-ESCHBACHER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:J
Other - Last Name:EMMING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5500 E KELLOGG DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1607
Mailing Address - Country:US
Mailing Address - Phone:316-685-2221
Mailing Address - Fax:316-651-3615
Practice Address - Street 1:5500 E KELLOGG DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1607
Practice Address - Country:US
Practice Address - Phone:316-685-2221
Practice Address - Fax:316-651-3615
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14185183500000X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Single Specialty
No183500000XPharmacy Service ProvidersPharmacist