Provider Demographics
NPI:1801237607
Name:TONG, EMILY KATE (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATE
Last Name:TONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22751 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22751 PROFESSIONAL DR
Practice Address - Street 2:SUITE 280
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6021
Practice Address - Country:US
Practice Address - Phone:281-319-8350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52082183500000X
CA68412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist