Provider Demographics
NPI:1174809404
Name:YOUNG, EMILY J A (RPH, PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:J A
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RPH, PHARMD, BCPS
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:ANASTASIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH, PHARMD, BCPS
Mailing Address - Street 1:1310 24TH AVE S # 119
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2637
Mailing Address - Country:US
Mailing Address - Phone:615-873-8197
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-873-8197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS525031835P0018X
MAPI156186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist