# EMUN MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA KIAMANI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417138967
- **Authorized official:** NELSON ORTIZ (PRESIDENT)
- **Authorized official phone:** (787) 850-3793

## Contact information

- **Practice address:** URB ATENAS J9 CALLE HERNANDEZ CARRION, MANATI, PR 00674
- **Practice address phone:** (787) 884-5551
- **Practice address fax:** (787) 884-3835
- **Mailing address:** PO BOX 1099, MANATI, PR 00674-1099
- **Mailing address phone:** (787) 884-5551
- **Mailing address fax:** (787) 884-3835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15F2504 | PR | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 05/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2087573 | PK | — |