Provider Demographics
NPI:1114178423
Name:ORR, EMMA JANE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:JANE
Last Name:ORR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CECIL D. QUILLEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DUFFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24244
Mailing Address - Country:US
Mailing Address - Phone:276-431-4291
Mailing Address - Fax:423-224-6865
Practice Address - Street 1:135 WEST RAVINE ROAD
Practice Address - Street 2:WELLMONT HOLSTON VALLEY MEDICAL CENTER INPATIENT PHARM.
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37662
Practice Address - Country:US
Practice Address - Phone:276-431-4291
Practice Address - Fax:423-224-6865
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN63881835P0018X
VA57301835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy