Healthcare Provider Details

I. General information

NPI: 1194640524
Provider Name (Legal Business Name): EMILY JOAN HALL PHARMD, BSPF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 BRODHEAD RD STE 100
MONACA PA
15061-3030
US

IV. Provider business mailing address

140 HAYMAKER CIR
STATE COLLEGE PA
16801-6979
US

V. Phone/Fax

Practice location:
  • Phone: 855-398-6471
  • Fax:
Mailing address:
  • Phone: 814-441-6164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460578
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: