MEDICARE: HEMMANUEL PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1366014300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMMANUEL PHARMACY

Provider Business Mailing Address
First Line	:	3914 N JACKSON RD
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-7768
Country	:	US
Telephone Number	:	956-305-2798
Fax Number	:

Provider Business Practice Location Address
First Line	:	3914 N JACKSON RD
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-7768
Country	:	US
Telephone Number	:	956-305-2798
Fax Number	:	956-305-2887

Authorized Official
Title or Position	:	PHARMACISTS
Name	:	DR. HEPHZIBAH BEULAH FORSAC
Credential	:	PHARMD
Telephone Number	:	713-518-5532

Provider Enumeration Date	:	07/09/2021
Last Update Date	:	03/30/2023

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Directions to “HEMMANUEL PHARMACY ” Practice Location

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