# FAMILY FARMACIA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY FARMACIA INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588716831
- **Authorized official:** MAHENDRA PATEL RPH (PRESIDENT)
- **Authorized official phone:** (773) 227-8874

## Contact information

- **Practice address:** 4242 W ARMITAGE AVE, CHICAGO, IL 60639-3647
- **Practice address phone:** (773) 227-8874
- **Practice address fax:** (773) 227-8284
- **Mailing address:** 4242 W ARMITAGE AVE, CHICAGO, IL 60639-3647
- **Mailing address phone:** (773) 227-8874
- **Mailing address fax:** (773) 227-8284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054009199 | IL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 05/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1454836 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |