Provider Demographics
NPI:1669005070
Name:EMUNA INC
Entity Type:Organization
Organization Name:EMUNA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BAMSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-677-5811
Mailing Address - Street 1:3002 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4745
Mailing Address - Country:US
Mailing Address - Phone:718-677-5811
Mailing Address - Fax:718-677-5812
Practice Address - Street 1:3002 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4745
Practice Address - Country:US
Practice Address - Phone:718-677-5811
Practice Address - Fax:718-677-5812
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMUNA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy