=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598548364
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY SALOMONE PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/16/2023
-----------------------------------------------------
Last Update Date | 02/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 310 S ROOSEVELT ST
-----------------------------------------------------
City | GOLDENDALE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98620-9201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-773-4022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2601 W BROADWAY BLVD APT 555
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85745-1787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-904-2250
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 03443481
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------