Emily Anne Carlson
Individual provider Active NPI Pharmacist · Poland, OH
NPI 1255076550 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1255076550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03337492 (OH)
- Practice address
- 3030 Center Rd
Poland, OH 44514-2158 - Phone
- (330) 707-9001
- Fax
- (330) 707-9002
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03337492 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RC Compounding Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03337492 | OH | Yes |
Addresses
Primary practice location
3030 Center Rd
Poland, OH 44514-2158
Mailing address
2375 S Hubbard Rd
Lowellville, OH 44436-9525
Phone (330) 770-5338
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.