Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED SAMUEL EMMITE, R.PH., CDM
Active Sole ProprietorMR. FRED SAMUEL EMMITE, R.PH., CDM is a Nutrition Support Pharmacist healthcare provider located in MAGNOLIA, Texas. NPI 1518971258 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · MAGNOLIA, TX
Registration Details
- NPI Number
- 1518971258
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (20.04660619533 yrs)
- Last Updated
- Sep 15, 2011
- Licenses
-
23279 (TX)23279 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18230 F.M. 1488SUITE: 100MAGNOLIA, TX, 77354Browse TX providers · Browse ZIP 77354
- Phone
- 7133838875
- Fax
- 2813569659
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
- Additional Specialty
- Nutrition Support Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.