Healthcare Provider Details

I. General information

NPI: 1811566516
Provider Name (Legal Business Name): EMILY YEAGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 06/18/2021
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 7TH ST
FREDERICK MD
21701-4506
US

IV. Provider business mailing address

PO BOX 94
BRADDOCK HEIGHTS MD
21714-0094
US

V. Phone/Fax

Practice location:
  • Phone: 240-566-4000
  • Fax: 240-566-7879
Mailing address:
  • Phone: 301-606-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27133
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202216845
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: