Provider Demographics
NPI:1447850813
Name:GNADE, EMILY ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:GNADE
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 1:2010 HIGHWAY E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MO
Mailing Address - Zip Code:63359-6220
Mailing Address - Country:US
Mailing Address - Phone:314-518-8463
Mailing Address - Fax:
Practice Address - Street 1:101 HIGHWAY 47 E
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-3100
Practice Address - Country:US
Practice Address - Phone:636-462-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014028407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist