Healthcare Provider Details

I. General information

NPI: 1861013641
Provider Name (Legal Business Name): EMILY MCKIBBIN LAYHEW PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2020
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N CAMERON ST
WINCHESTER VA
22601-4899
US

IV. Provider business mailing address

375 BUTLERS CHAPEL RD
MARTINSBURG WV
25403-0956
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-4012
  • Fax: 540-662-4724
Mailing address:
  • Phone: 304-839-2998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202218629
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0011105
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: