Healthcare Provider Details

I. General information

NPI: 1952982753
Provider Name (Legal Business Name): EMILY PAIGE THACKER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY PAIGE TURNER

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 OHARA ST
PITTSBURGH PA
15213-2561
US

IV. Provider business mailing address

3600 FORBES AVE STE 140
PITTSBURGH PA
15213-3410
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberRP455691
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: