Provider Demographics
NPI:1871184952
Name:TIGNOR, EMILY BAKER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:BAKER
Last Name:TIGNOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:LORIN
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6310 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4734
Mailing Address - Country:US
Mailing Address - Phone:901-680-1907
Mailing Address - Fax:
Practice Address - Street 1:6310 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4734
Practice Address - Country:US
Practice Address - Phone:901-680-1907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist