Provider Demographics
NPI:1972884906
Name:EMERY, WILLIAM ANDRICK (BSPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANDRICK
Last Name:EMERY
Suffix:
Gender:M
Credentials:BSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 BONNEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2237
Mailing Address - Country:US
Mailing Address - Phone:330-573-4393
Mailing Address - Fax:
Practice Address - Street 1:2645 STATE RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1642
Practice Address - Country:US
Practice Address - Phone:330-928-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist