Provider Demographics
NPI:1669624987
Name:INWANG, EMMANUEL PATRICK (PHARM D)
Entity type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:PATRICK
Last Name:INWANG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 S ADAMS ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-5474
Mailing Address - Country:US
Mailing Address - Phone:850-222-1963
Mailing Address - Fax:850-224-9356
Practice Address - Street 1:175 SALEM CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2809
Practice Address - Country:US
Practice Address - Phone:850-222-1963
Practice Address - Fax:850-224-9356
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS425111835P1200X
FLPU63611835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL682735796Medicaid