Provider Demographics
NPI:1619743853
Name:SHOEMAKER, EMILY M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:M
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:M
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15857 OCEANVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415-9541
Mailing Address - Country:US
Mailing Address - Phone:208-631-7971
Mailing Address - Fax:
Practice Address - Street 1:16261 HIGHWAY 101 S
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-9499
Practice Address - Country:US
Practice Address - Phone:541-469-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0019834183500000X
IDP11051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist