Healthcare Provider Details

I. General information

NPI: 1003048109
Provider Name (Legal Business Name): EMA CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2009
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6433 RISING SUN AVE
PHILADELPHIA PA
19111-5228
US

IV. Provider business mailing address

6433 RISING SUN AVE
PHILADELPHIA PA
19111-5228
US

V. Phone/Fax

Practice location:
  • Phone: 215-745-0202
  • Fax: 215-745-0808
Mailing address:
  • Phone: 215-745-0202
  • Fax: 215-745-0808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481949
License Number StatePA

VIII. Authorized Official

Name: MAUNIK BHATT
Title or Position: OWNER / MEMBER
Credential:
Phone: 215-745-0202