Provider Demographics
NPI:1366014300
Name:HEMMANUEL PHARMACY
Entity Type:Organization
Organization Name:HEMMANUEL PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACISTS
Authorized Official - Prefix:DR
Authorized Official - First Name:HEPHZIBAH
Authorized Official - Middle Name:BEULAH
Authorized Official - Last Name:FORSAC
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-518-5532
Mailing Address - Street 1:3914 N JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7768
Mailing Address - Country:US
Mailing Address - Phone:956-305-2798
Mailing Address - Fax:
Practice Address - Street 1:3914 N JACKSON RD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7768
Practice Address - Country:US
Practice Address - Phone:956-305-2798
Practice Address - Fax:956-305-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy