Provider Demographics
NPI:1932576527
Name:CARANDANG, EMMANUEL ATIENZA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:ATIENZA
Last Name:CARANDANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16715 OLD STATESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9583
Mailing Address - Country:US
Mailing Address - Phone:704-896-5293
Mailing Address - Fax:
Practice Address - Street 1:16715 OLD STATESVILLE RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-9583
Practice Address - Country:US
Practice Address - Phone:704-896-5293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist