Provider Demographics
NPI:1982203295
Name:COX, EMILY BETH (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:BETH
Last Name:COX
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 FAIRWAY PARK ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-2654
Mailing Address - Country:US
Mailing Address - Phone:620-364-9891
Mailing Address - Fax:
Practice Address - Street 1:2350 SE GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-0917
Practice Address - Country:US
Practice Address - Phone:817-419-0312
Practice Address - Fax:817-419-6812
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX520201835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist