Organization
EMMANUEL PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALID IBRAHIM (CEO)
(760) 835-9888
Entity
Organization
Contact information
Practice address
77760 COUNTRY CLUB DR, SUITE I, PALM DESERT, CA 92211-6247
(760) 360-1080
(760) 360-1085
Mailing address
77760 COUNTRY CLUB DR, SUITE I, PALM DESERT, CA 92211-6247
(760) 360-1080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51507
CA
Other
Enumeration date
07/04/2013
Last updated
09/12/2013
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