Individual
MR. FRED SAMUEL EMMITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., CDM
Contact information
Practice address
18230 F.M. 1488, SUITE: 100, MAGNOLIA, TX 77354
(713) 383-8875
(281) 356-9659
Mailing address
18230 F.M. 1488, SUITE: 100, MAGNOLIA, TX 77354
(713) 383-8875
(281) 356-9659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
23279
TX
1835N1003X
Nutrition Support Pharmacist
Primary
23279
TX
Other
Enumeration date
07/28/2006
Last updated
09/15/2011
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