Healthcare Provider Details

I. General information

NPI: 1376018523
Provider Name (Legal Business Name): EMERGING PHARMACIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 GIRARD AVE STE 100
LA JOLLA CA
92037-5150
US

IV. Provider business mailing address

7301 GIRARD AVE STE 100
LA JOLLA CA
92037-5150
US

V. Phone/Fax

Practice location:
  • Phone: 858-246-6918
  • Fax: 858-246-6918
Mailing address:
  • Phone: 858-246-6918
  • Fax: 858-246-6918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ALMAZ DAWIT
Title or Position: PHARMACY MANAGER
Credential: PHARM.D.
Phone: 310-916-3751