# FAMILY PHARMACY LTC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508690363
- **Authorized official:** NOOR MIKHAIL (MANAGER)
- **Authorized official phone:** (619) 905-7722

## Contact information

- **Practice address:** 340 4TH AVE STE 1, CHULA VISTA, CA 91910-3882
- **Practice address phone:** (619) 373-1477
- **Practice address fax:** (619) 737-4170
- **Mailing address:** 250 E CHASE AVE STE 108, EL CAJON, CA 92020-6305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 04/14/2026