Provider Demographics
NPI:1679859979
Name:RMAITI, EMILY CAROL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CAROL
Last Name:RMAITI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20635 ERIN WAY
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-1467
Mailing Address - Country:US
Mailing Address - Phone:612-799-1191
Mailing Address - Fax:
Practice Address - Street 1:1274 TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-1066
Practice Address - Country:US
Practice Address - Phone:651-452-5320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN808672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist