Provider Demographics
NPI:1104945401
Name:HURST, EMORY F JR (RPH)
Entity type:Individual
Prefix:MR
First Name:EMORY
Middle Name:F
Last Name:HURST
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24150 THICKET POINT LN
Mailing Address - Street 2:
Mailing Address - City:ONANCOCK
Mailing Address - State:VA
Mailing Address - Zip Code:23417-3034
Mailing Address - Country:US
Mailing Address - Phone:757-789-3845
Mailing Address - Fax:757-787-9449
Practice Address - Street 1:25 MARKET ST
Practice Address - Street 2:
Practice Address - City:ONANCOCK
Practice Address - State:VA
Practice Address - Zip Code:23417-1911
Practice Address - Country:US
Practice Address - Phone:757-787-3500
Practice Address - Fax:757-787-9449
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist