Provider Demographics
NPI:1790121317
Name:ATKINS, EMILY SETZ (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SETZ
Last Name:ATKINS
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 1:4133 N WOODHUE DR
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-9048
Mailing Address - Country:US
Mailing Address - Phone:608-712-7176
Mailing Address - Fax:
Practice Address - Street 1:2500 E US HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0309
Practice Address - Country:US
Practice Address - Phone:608-754-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14647-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist