Provider Demographics
NPI:1124328620
Name:PHIPPS, EMILY CLAIRE (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CLAIRE
Last Name:PHIPPS
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 1:1725 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3444
Mailing Address - Country:US
Mailing Address - Phone:907-339-2860
Mailing Address - Fax:907-339-2819
Practice Address - Street 1:1725 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3444
Practice Address - Country:US
Practice Address - Phone:907-339-2860
Practice Address - Fax:907-339-2819
Is Sole Proprietor?:No
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist