Provider Demographics
NPI:1285947697
Name:GILLESPIE, EMILY L (PHARM D)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:L
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 MAJESTIC ROSES CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3948
Mailing Address - Country:US
Mailing Address - Phone:843-881-4877
Mailing Address - Fax:
Practice Address - Street 1:1799 N HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3334
Practice Address - Country:US
Practice Address - Phone:843-856-8669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist