Provider Demographics
NPI:1881064269
Name:NEFTZER, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:NEFTZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 WEST MAIN STEET
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28093
Mailing Address - Country:US
Mailing Address - Phone:704-735-1493
Mailing Address - Fax:
Practice Address - Street 1:1403 WEST MAIN STEET
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28093
Practice Address - Country:US
Practice Address - Phone:704-735-1493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25422183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist