Organization
EMANATE HEALTH MEDICAL CENTER
Active
Parent organization
EMANATE HEALTH MEDICAL CENTER
Other names
Emanate Health Medical Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMANATE HEALTH MEDICAL CENTER
Authorized official
RAJESH SHARMA (PRESIDENT & CEO)
(626) 938-7595
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE STE 104, WEST COVINA, CA 91790-3965
(626) 732-8670
(626) 746-3068
Mailing address
1620 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-3219
(817) 572-0009
(817) 572-0221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
09/20/2023
Last updated
06/18/2024
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