Provider Demographics
NPI:1619502895
Name:CARABBACAN, EMILY SEM (PHARM D)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SEM
Last Name:CARABBACAN
Suffix:
Gender:F
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 1:879 VIA LA VENTA
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-4201
Mailing Address - Country:US
Mailing Address - Phone:978-606-3460
Mailing Address - Fax:
Practice Address - Street 1:951 PALOMAR AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1110
Practice Address - Country:US
Practice Address - Phone:760-929-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-07
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist