Provider Demographics
NPI:1437390317
Name:FLORES, EMILY KELLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KELLEY
Last Name:FLORES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:KATHLEEN
Other - Last Name:KELLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 70657
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37614-1701
Mailing Address - Country:US
Mailing Address - Phone:423-439-6754
Mailing Address - Fax:423-439-6784
Practice Address - Street 1:917 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6527
Practice Address - Country:US
Practice Address - Phone:423-439-6464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000270151835P0018X
SC0115391835P0018X
TX457351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist