Provider Demographics
NPI:1407340540
Name:YOUNIE, EMMA (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:YOUNIE
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 1:445 IVY RD
Mailing Address - Street 2:
Mailing Address - City:TEA
Mailing Address - State:SD
Mailing Address - Zip Code:57064-2332
Mailing Address - Country:US
Mailing Address - Phone:605-351-7805
Mailing Address - Fax:
Practice Address - Street 1:515 N PINE ST
Practice Address - Street 2:
Practice Address - City:LENNOX
Practice Address - State:SD
Practice Address - Zip Code:57039-2188
Practice Address - Country:US
Practice Address - Phone:605-647-2256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6593183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist