Healthcare Provider Details

I. General information

NPI: 1174297618
Provider Name (Legal Business Name): EMILY COLLINS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 HUGHES DR # 550
TOLEDO OH
43606-3858
US

IV. Provider business mailing address

2109 HUGHES DR # 550
TOLEDO OH
43606-3858
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-2010
  • Fax: 419-480-8715
Mailing address:
  • Phone: 419-291-2010
  • Fax: 419-480-8715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03440984
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: