Provider Demographics
NPI:1164993408
Name:EMA HEALTHCARE, INC
Entity Type:Organization
Organization Name:EMA HEALTHCARE, INC
Other - Org Name:WELLNESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMAD ELDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-380-7905
Mailing Address - Street 1:1049 W GARDENA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-4957
Mailing Address - Country:US
Mailing Address - Phone:310-537-6060
Mailing Address - Fax:310-638-7070
Practice Address - Street 1:1049 W GARDENA BLVD STE A
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-4957
Practice Address - Country:US
Practice Address - Phone:310-537-6060
Practice Address - Fax:310-638-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy