Provider Demographics
NPI:1932311404
Name:JUNE, EMMA (RPH)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:JUNE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PULLMAN ST BLDG G
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-9756
Mailing Address - Country:US
Mailing Address - Phone:925-294-7051
Mailing Address - Fax:925-453-3753
Practice Address - Street 1:300 PULLMAN ST BLDG G
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9756
Practice Address - Country:US
Practice Address - Phone:925-294-7051
Practice Address - Fax:925-453-3753
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH47964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist