# FAMILY CARE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care Williamsburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053633610
- **Authorized official:** DIANE WEAKLEY (PHARMACIST IN CHARGE)
- **Authorized official phone:** (757) 220-1621

## Contact information

- **Practice address:** 3900 WINDSOR HALL DR, WILLIAMSBURG, VA 23188-2875
- **Practice address phone:** (757) 220-1621
- **Practice address fax:** (757) 903-4290
- **Mailing address:** 3900 WINDSOR HALL DR, WILLIAMSBURG, VA 23188-2875
- **Mailing address phone:** (757) 220-1621
- **Mailing address fax:** (757) 903-4290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 0201004329 | VA | Yes |

## Other

- **Enumeration date:** 02/24/2010
- **Last updated:** 05/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053633610 | — | VA |
| 01 | — | 4842072 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |