Provider Demographics
NPI:1275946782
Name:EMT INC
Entity Type:Organization
Organization Name:EMT INC
Other - Org Name:RELIANCE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELZINY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-420-5066
Mailing Address - Street 1:1446 SPAULDING AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-420-5066
Mailing Address - Fax:509-420-5132
Practice Address - Street 1:1446 SPAULDING AVE
Practice Address - Street 2:STE 105
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-420-5066
Practice Address - Fax:509-420-5132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy