Provider Demographics
NPI:1124437678
Name:COLLINS, EMILY LANGLOIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LANGLOIS
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KATHLEEN
Other - Last Name:LANGLOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1782 WARREN CT NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1457
Mailing Address - Country:US
Mailing Address - Phone:269-329-9398
Mailing Address - Fax:
Practice Address - Street 1:1100 WILSON WAY SE STE 500
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-7218
Practice Address - Country:US
Practice Address - Phone:770-432-1621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17642-40183500000X
GARPH030481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist