Provider Demographics
NPI:1659657849
Name:ROSS, EMILY SUSAN ENGLISH (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SUSAN ENGLISH
Last Name:ROSS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:ENGLISH
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4261 MANLY SMITH RD
Mailing Address - Street 2:
Mailing Address - City:ROSEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28382-8554
Mailing Address - Country:US
Mailing Address - Phone:910-596-1380
Mailing Address - Fax:
Practice Address - Street 1:4261 MANLY SMITH RD
Practice Address - Street 2:
Practice Address - City:ROSEBORO
Practice Address - State:NC
Practice Address - Zip Code:28382-8554
Practice Address - Country:US
Practice Address - Phone:910-596-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist