Healthcare Provider Details

I. General information

NPI: 1386179190
Provider Name (Legal Business Name): EMILY GARNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2017
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17273 STATE ROUTE 104
CHILLICOTHEE OH
45601-9718
US

IV. Provider business mailing address

1238 SEIP RD
CHILLICOTHEE OH
45601-9015
US

V. Phone/Fax

Practice location:
  • Phone: 740-773-1141
  • Fax: 740-772-7199
Mailing address:
  • Phone: 740-701-4396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03127501
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: