Provider Demographics
NPI:1720572472
Name:SMITH, EMILY FINLEY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:FINLEY
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 N ELLINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2218
Mailing Address - Country:US
Mailing Address - Phone:931-359-6696
Mailing Address - Fax:931-359-6699
Practice Address - Street 1:1334 N ELLINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2218
Practice Address - Country:US
Practice Address - Phone:931-359-6696
Practice Address - Fax:931-359-6699
Is Sole Proprietor?:No
Enumeration Date:2018-06-17
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist