Provider Demographics
NPI:1992392260
Name:ATCHISON, EMILY ERIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ERIN
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ERIN WALLACE
Other - Last Name:KLATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2800 CUSTER DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6445
Mailing Address - Country:US
Mailing Address - Phone:641-330-8310
Mailing Address - Fax:
Practice Address - Street 1:371 S ROYAL LN
Practice Address - Street 2:
Practice Address - City:DFW AIRPORT
Practice Address - State:TX
Practice Address - Zip Code:75261-4526
Practice Address - Country:US
Practice Address - Phone:972-393-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist