Provider Demographics
NPI:1396341376
Name:ECHOLS, EMERALD FELICIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMERALD
Middle Name:FELICIA
Last Name:ECHOLS
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 1:5203 RED LEAF RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4151
Mailing Address - Country:US
Mailing Address - Phone:305-542-1366
Mailing Address - Fax:
Practice Address - Street 1:2368 FRANKFORT AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2466
Practice Address - Country:US
Practice Address - Phone:502-896-0781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy