Provider Demographics
NPI:1538476080
Name:EMERY, STEVEN MICHAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:EMERY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 MARTIN BUGGE RD
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-9614
Mailing Address - Country:US
Mailing Address - Phone:907-821-3890
Mailing Address - Fax:
Practice Address - Street 1:2417 TONGASS AVE
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5900
Practice Address - Country:US
Practice Address - Phone:907-228-1960
Practice Address - Fax:907-228-1919
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-04
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2125183500000X
UT7452101-1702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist