Provider Demographics
NPI:1972162147
Name:THIEMANN, EMILY KRISTINE (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KRISTINE
Last Name:THIEMANN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:KRISTINE
Other - Last Name:CORRIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOCTOR OF PHARMACY
Mailing Address - Street 1:900 N PORTER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6426
Mailing Address - Country:US
Mailing Address - Phone:405-364-5222
Mailing Address - Fax:405-364-7076
Practice Address - Street 1:900 N PORTER AVE STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6426
Practice Address - Country:US
Practice Address - Phone:405-364-5222
Practice Address - Fax:405-364-7076
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty