Provider Demographics
NPI:1801228093
Name:CRAGGS, EMILY CHRISTINE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CHRISTINE
Last Name:CRAGGS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 N ARCADIAN CR. #101
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103
Mailing Address - Country:US
Mailing Address - Phone:217-827-4974
Mailing Address - Fax:
Practice Address - Street 1:8700 W TRAIL LAKE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8205
Practice Address - Country:US
Practice Address - Phone:217-827-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-13032183500000X
TN37464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist